超声造影和彩超对肝实质性肿块诊断与手术病理的对照研究  

Comparative Study of Contrast-enhanced Ultrasound and Color Doppler Ultrasound in the Diagnosis of Liver Parenchymal Masses and Surgical Pathology

作　　者：龙晶 伍建红 LONG Jing;WU Jianhong(Department of Ultrasound,Zhuzhou Central Hospital,Zhuzhou Hu’nan 412000,China)

机构地区：[1]株洲市中心医院超声科,湖南株洲412000

出　　处：《中国卫生标准管理》2021年第21期45-47,共3页China Health Standard Management

摘　　要：目的探析超声造影(contrast-enhanced ultrasonography,CEUS)和彩色多普勒超声(color Dopple ultrasonography,CDUS)诊断肝实质性肿块及与手术病理对照研究。方法回顾性分析2018年1月—2020年4月医院收治的42例肝实质性肿块患者临床资料,所有患者均于术前接受CDUS、CEUS超声检查。以手术病理结果为“金标准”,统计并比较CEUS和CDUS对不同病理类型、不同肿块直径肝实质肿块的检出差异,进一步分析二者对诊断不同病理类型肝实质肿块的准确度、敏感度及特异度。结果42例患者病理诊断51个肝实质性肿块,其中原发性肝癌26个,肝转移癌8个;肝血管瘤肿块11个,肝局灶性结节增生4个,肝孤立性坏死结节2个;CEUS对不同病理类型肝实质肿块的总检出率84.31%明显高于CDUS的62.75%,另CEUS对肿块直径≥20 mm肝实质肿块的检出率93.33%明显高于CDUS的73.33%,差异有统计学意义(P<0.05);CEUS对不同病理类型肝实质肿块的诊断准确度、敏感度、特异度均高于CDUS,但二者差异无统计学意义(P>0.05)。结论超声造影、彩色多普勒超声在诊断肝实质性肿块上均具有较高的临床应用价值,但超声造影在手术病理的检出价值上优于彩色多普勒超声。Objective To explore the diagnostic value of contrast-enhanced ultrasound(CEUS)and color Doppler ultrasound(CDUS)in the diagnosis of liver parenchymal masses and to compare them with surgical pathology.Methods The clinical data of 42 patients with liver parenchymal mass treated in our hospital from January 2018 to April 2020 were retrospectively analyzed.All patients were received CDUS and CEUS ultrasound examination before operation.Taking the surgical pathological results as the“gold standard”,the detection differences of CEUS and CDUS in different pathological types and tumor diameters were statistically compared,and the accuracy,sensitivity and specificity of CEUS and CDUS in the diagnosis of liver parenchymal masses with different pathological types were further analyzed.Results Pathological diagnosis of 51 parenchymal hepatic masses in 42 patients,among them,26 were primary liver cancer,8 were liver metastases;11 were hemangioma,4 were focal nodular hyperplasia,and 2 were solitary necrotic nodules.The total detection rate of CEUS for different pathological types of liver parenchymal masses was 84.31%,which was significantly higher than 62.75%of CDUS.In addition,the detection rate of CEUS for liver parenchymal masses with tumor diameter≥20 mm was 93.33%,which was significantly higher than that of C 73.33%of DUS,the differences were statistically significant(P<0.05).The diagnostic accuracy,sensitivity and specificity of CEUS for different pathological types of liver parenchymal masses were higher than those of CDUS,but there was no significant difference between them(P>0.05).Conclusion CEUS and CDFI have high clinical application value in the diagnosis of liver parenchymal masses,but CEUS is superior to CDFI in the detection value of surgical pathology.

关 键 词：超声造影 彩色多普勒超声 肝实质性肿块 手术病理 对照比较 研究分析 

分 类 号：R445[医药卫生—影像医学与核医学]