超声造影在肝脏局灶性病变定性诊断中的价值  

The value of contrast-enhanced ultrasound in the diagnosis of focal liver lesions

作　　者：周杨[1] 李欣欣[1] 张明宇[1] 

机构地区：[1]牡丹江医学院附属二院,黑龙江牡丹江157001

出　　处：《中医临床研究》2017年第22期129-131,共3页Clinical Journal Of Chinese Medicine

摘　　要：目的:探讨超声造影在肝脏局灶性病变定性诊断中的临床价值。方法:选择2014年1月-2015年12月在我院诊断治疗的肝脏占位病变患者314例的临床资料进行分析。分别行常规超声检查及超声造影检查,分析两种检查方法与最终临床诊断结果的一致性,并比较两种方法在肝脏局灶性病变定型诊断中的敏感性、特异性、准确性、阳性预测值、阴性预测值。结果:314例患者中恶性病灶197例,良性病灶117例。常规超声及超声造影与临床诊断比较差异无统计学意义(P>0.05)。超声造影在肝脏局灶性病变定性诊断中的特异性、准确性、阳性预测值、阴性预测值显著高于常规超声检查结果,差异有显著统计学意义(P<0.01),在敏感性方面比较差异无统计学意义(P>0.05)。结论:超声造影在肝脏局灶性病变的定性诊断中的临床价值优于传统超声,具有较好的准确性。Objective:To discuss the value of contrast-enhanced ultrasound in diagnosing focal liver lesions.Methods:Clinical data of314cases from Jan.2014to Dec.2015were respectively analyzed.The patients were detected with conventional ultrasound and contrastenhanced ultrasound respectively.The consistency between the methods and the final clinical diagnosis was analyzed.And the sensitivity,specificity,accuracy,positive predictive value and negative predictive value of the two methods in the diagnosis of focal liver lesions were compared.Results:In314cases,197cases were malignant lesions;and117cases were benign lesions.There was no significant difference between conventional ultrasound and contrast-enhanced ultrasound in clinical diagnosis(P>0.05).Specificity,accuracy,positive predictive value,negative predictive value of contrast enhanced ultrasound were higher than conventional ultrasound(P<0.01).And susceptibility of two methods showed no significant difference(P>0.05).Conclusion:The clinical value of contrast-enhanced ultrasound in qualitative diagnosis of focal liver lesions is better than conventional ultrasound.

关 键 词：超声 造影 肝脏局灶性病变 定性诊断 

分 类 号：R445.1[医药卫生—影像医学与核医学]