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超声造影在肝局灶性结节增生的应用及诊断价值 被引量:5

Application and diagnostic value of contrast-enhanced ultrasonography for hepatic focal nodular hyperplasia
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摘要 目的:探讨超声造影在肝局灶性结节增生(FNH)的应用及诊断价值。方法:回顾分析2009年1月至2011年12月来本院本科就诊的16例患者的肝局灶性结节增生的彩色多普勒声像图及超声造影特征。结果:肝局灶性结节增生的二维超声表现为稍低或等回声结节,彩色多普勒血流显像于部分结节内可见"轮辐"状动脉血流;超声造影动脉期全部病灶迅速强化(9~15 s),显示为均匀高增强,大部分病灶可见"轮辐"状离心性增强,部分病灶还可见中央瘢痕低增强。结论:超声造影能动态显示FNH的血流灌注特征,在FNH的诊断和鉴别诊断中有重要价值。 Objective: To investigate the application and diagnostic value of contrast-enhanced uhrasonography for hepatic focal nodular hyperplasia (FNH). Methods: We retrospectively reviewed the characteristics of uhrasonography and contrast-enhanced ultrasonography of 16 patients with FNH who were admitted to department of uhrasanography, Guangzhou Panyu Central Hospital, between January 2009 and December 2011. Results: FNH appeared isoechoic or hypoechoie as assessed by two-dimensional uhrasonography, and might be featured by the presence of spoke-like arterial blood flow in a number of nodules, a result suggested by color Doppler uhrasonography. During contrast-enhanced uhrasonograpby, an evenly distributed intensified loci, particularly spoke-like radiating intensified foci noted in most foei, could be revealed at arterial phase (9 - 15 seconds). Whilst a minority of foci may be identified owing to the presence of central scar-like intensification. Conclusion: Ultrasonography dynamically demonstrates the characteristics of blood peffusion and may play a crucial role in the diagnosis and differential diagnosis of FNH.
出处 《广州医学院学报》 2012年第5期16-18,共3页 Academic Journal of Guangzhou Medical College
关键词 肝局灶性结节增生 彩色多普勒超声 超声造影 诊断价值 hepatic focal nodular hyperplasia color Doppler ultrasonography contrast-enhancedultrasonography diagnostic value
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  • 1Hussain SM, Terkivatan T, Zonder Van PE, et al. Focal Nodular Hyperplasia: Findings at state of the art MR imaging, US, CT and pathologic analysis [ J ]. Radiographsics, 2004, 2d(1) : 3-17.
  • 2张磊,蔡建强,赵建军,毕新宇,邢古生,闫涛,付玉霞,赵平.肝脏局灶性结节性增生[J].中国普通外科杂志,2009,18(7):749-751. 被引量:7
  • 3Luigi G, Giovanni M, Miles A, et al. Accrate differentiation of focal nodular hyperplasia from hepatic adenoma at Gadobenate Dimeglumine-enhanced MR imaging: prospective study [ J ]. Radiology, 2005, 236 (1) :166.
  • 4李迎春,宋彬,蒋莉莉,唐鹤涵,何艳梅,蒋晓忠,印隆林,吴俊华.新型MR造影剂钆贝葡胺诊断肝脏局灶性结节样增生的价值(附5例报告)[J].中国普外基础与临床杂志,2007,14(5):598-604. 被引量:7
  • 5Golli M, Mathieu D, Anglade MC, et al. Focal nodular hyperplasia of the liver: value of color Doppler US in association, with MR imaging [ J ]. Radiology, 1993, 1 (87) :113 -116.
  • 6纪元,朱雄增,谭云山,曾海英,叶青海,汤钊猷.肝局灶性结节性增生的临床病理学研究[J].中华病理学杂志,2000,29(5):334-338. 被引量:23
  • 7Ungermann L, Elias P, Zizka J, et al. Focal nodular hyperplasia: spoke-wheel arterial pattern and other signs on dy-namic contrast-enhanced ultrasonography [ J ]. Eur J Radio1,2007,63 (2) :290-294.
  • 8曹成,刘利平,冯婷华,张敏,张炎晶,鲁琴.原发性肝癌超声造影与增强CT增强特征的对比研究[J].中国现代医生,2012,50(6):96-97. 被引量:8
  • 9Kamel IR, Liapi E, Fishman EK. Focal nodular hyperplasia: lesion evaluation using 16-MDCT and 3D CT angiography[ J]. AJR, 2006, 186(6):1587-1596.

二级参考文献46

共引文献38

同被引文献61

  • 1王文平,毛丽娟,丁红,黄备建,李丛,李超伦.动态三维超声造影在肝肿瘤诊断中的初步应用[J].中华医学超声杂志(电子版),2011,8(5):976-983. 被引量:19
  • 2何炜,李瑞珍,周平,李文彬,刘浔阳.彩色多普勒能量图观察肝硬化癌变过程滋养血流的变化[J].中国医学影像技术,2005,21(7):1055-1058. 被引量:8
  • 3张艳华,刘筱敏.肝内胆管细胞癌超声漏诊误诊分析[J].中国实用医刊,2010,37(6):000-000. 被引量:1
  • 4李锐,张晓航,张萍,丁俊,郭燕丽,薛雅芳,陈朝辉.实时超声造影与增强螺旋CT检出恶性肿瘤肝转移灶的临床研究[J].临床超声医学杂志,2006,8(12):708-710. 被引量:13
  • 5Correas JM, Tranquart F, Claudon M. Guidelines for contrast enhanced ultrasound (CEUS): update 2008. J Radiol(:3:(), 2009, 90(1 Pt 2): 123-138, 139-140.
  • 6Sporea I, Badea R, Martie A, et al. Contrast enhanced ultrasound for the evaluation of focal liver lesions in daily practice: a multicentre study. Med Ultrason, 2012, 14(2): 95-100.
  • 7Strobel D, Bernatik T, Blank W, et al. Diagnostic accuracy of CEUS in the differential diagnosis of small (:<20 ram) and subcentimetric (:< 10 mm) focal liver lesions in comparison with histology: results of the DEGUM multicenter trial. Ultraschall Med, 2011, 32(6): 593-597.
  • 8Sirli R, Sporea I, Popescu A, et al. Contrast enhanced ultrasound for the diagnosis of liver hemangiomas in clinical practice. Med Ultrason, 2011, 13(2): 95-101.
  • 9Sporea I, Badea R, Martie A, et al. Contrast enhanced ultrasound for the characterization of focal liver lesions. Med Ultrason, 2011, 13(I): 38-44.
  • 10Beaton C, Cochlin D, Kumar N. Contrast enhanced ultrasound should be the initial radiologieal investigation to charaeterise focal liver lesions. Eur J Surg Oncol, 2010, 36(1): 43-46.

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