超声与CT诊断单囊型肝囊性包虫病的价值  

Value of Ultrasound and CT in Diagnosis of Single Cystic Hepatic Cystic Echinococcosis

作　　者：齐宝文[1] 张梦琪[2] 张利[1] 马志刚[3] QI Baowen;ZHANG Mengqi;ZHANG Li(Department of Ultrasound,People’s Hospital of Xinjiang Uygur Autonomous Region,Urumqi City,Xinjiang 830001;不详)

机构地区：[1]新疆维吾尔自治区人民医院超声科,新疆乌鲁木齐市830001 [2]新疆维吾尔自治区人民医院放射影像中心,新疆乌鲁木齐市830001 [3]新疆维吾尔自治区人民医院肝胆外科,新疆乌鲁木齐市830001

出　　处：《医学理论与实践》2022年第6期916-919,共4页The Journal of Medical Theory and Practice

基　　金：新疆维吾尔自治区人民医院院内项目(20190405)。

摘　　要：目的:探讨经超声、CT对单囊型肝囊性包虫病的诊断及指导价值。方法:回顾性分析于我院2013年1月—2019年12月同时进行CT和超声检查的140例行手术病理证实的临床单囊型肝囊性包虫病患者临床资料。通过比较影像学特征,包虫大小与囊壁厚度之间的相关性,超声与CT检查的诊断效能。判断超声、CT对单囊型肝囊性包虫病的指导价值。结果:140例患者手术病理共确定155个病灶,单囊型肝囊性包虫病灶135个,非包虫病灶20个,超声检查的敏感度96.30%、特异性80.00%,准确率94.19%;CT检查的敏感度82.22%、特异性80.00%,准确率81.94%。超声、CT检查与病理检查结果比较,Kappa值分别为0.747和0.436,一致性较好。测量单囊型肝囊性包虫的大小与囊壁厚度呈负相关(r=-0.870)。结论:单囊型肝囊性包虫病灶囊壁的双层壁是诊断的关键,超声的准确性要好于CT,可以更加精准地诊断单囊型肝囊性包虫病,为临床诊断提供参考依据。Objective:To evaluate the diagnostic value of ultrasonography and CT in single cystic hepatic cystic echinococcosis.Methods:The clinical data of 140 patients with single cystic hepatic cystic echinococcosis who underwent CT and ultrasound examination at our hospital from January 2013 to December 2019 were retrospectively analyzed.By comparing the imaging features,the correlation between hydatid size and cyst wall thickness,the diagnostic efficacy of ultrasound and CT examination.To evaluate the guiding value of ultrasound and CT for single cystic hepatic cystic echinococcosis.Results:A total of 155 lesions were identified by surgery and pathology in 140 patients,including 135 cystic hydatid lesions of single cystic liver and 20 non-hydatid lesions.The sensitivity,specificity and accuracy of ultrasound examination were 96.30%,80.00%and 94.19%.The sensitivity,specificity and accuracy of CT were 82.22%,80.00%and 81.94%.The Kappa value was 0.747 and 0.436,respectively,which was consistent with the results of ultrasonography,CT examination and pathological examination.There was a negative correlation(r=-0.870)between the measurement of the hepatic size and cyst wall thickness.Conclusion:The double wall of cystic wall of cystic hydatid lesion of single cystic liver is the key to diagnosis.The accuracy of ultrasound is better than that of CT,which can more accurately diagnose single cystic liver cystic hydatid disease,and provide a reference for clinical diagnosis.

关 键 词：超声检查 CT 肝包虫病 

分 类 号：R445[医药卫生—影像医学与核医学]