摘要
目的 探究与分析超声造影与常规超声诊断肝脏局灶性病变的临床效果.方法 整群选取并回顾性分析该院自2012年9月—2014年9月收治的298例肝脏局灶性病变患者的临床资料,该组患者均给予常规超声与超声造影检查,对比两种方法 诊断肝脏局灶性病变的准确性.结果 超声造影诊断血管癌、硬化结节、局灶性结节增生、肝内胆管癌、不均匀脂肪肝及其他病变时的诊断准确率分别为：90.70%、72.22%、71.43%、58.33%、80.00%、50.00%,彩色多普勒诊断血管癌、硬化结节、局灶性结节增生、肝内胆管癌、不均匀脂肪肝及其他病变时的诊断准确率分别为：69.77%、55.56%、50.00%、33.33%、60.00%、25.00%,超声造影较常规超声诊断血管癌、硬化结节、局灶性结节增生、肝内胆管癌、不均匀脂肪肝及其他病变准确率明显升高,差异有统计学意义（x2=4.11、6.74、5.90、4.56、7.11、6.34,P〈0.05）.结论 在诊断肝细胞性肝癌、转移性肝癌常规超声与造影超声的诊断率无明显差异,但在诊断血管癌、硬化结节、局灶性结节增生、肝内胆管癌、不均匀脂肪肝及其他病变时,则需给予超声造影检查以确保结果 的准确性,同时需要临床医生结合临床症状及其他实验室检查最终确诊.
Objective To investigate and analyze the clinical effect of contrast-enhanced ultrasound and conventional ultrasound in the diagnosis of focal liver lesions. Methods A retrospective analysis was conducted on the clinical data of 298 cases with focal liver lesions admitted in our hospital from September 2012 to September 2014. All the patients underwent both conventional ultrasound and contrast-enhanced ultrasound examination. And the diagnostic accuracy of these two ways was compared. Results The accuracy of contrast-enhanced ultrasound in the diagnosis of vascular cancer, sclerosis nodule, focal nodular hyperplasia, intrahepatic cholangiocarcinoma, non-uniform fatty liver and other lesions was respectively 90.70%, 72.22%, 71.43%, 58.33%, 80.00%, 50.00%, and that of color Doppler in the diagnosis of the above diseases was respectively 69.77%, 55.56%, 50.00%, 33.33%, 60.00%, 25.00%, the accuracy of contrast-enhanced ultrasound in the diagnosis of vascular cancer, sclerosis nodule, focal nodular hyperplasia, intrahepatic cholangiocarcinoma, non-uniform fatty liver and other lesions was much higher than that of conventional ultrasound （X2 =4.11, 6.74, 5.90, 4.56, 7.11, 6.34, P〈0.05）. Conclusion The difference in the accuracy of diagnosis of hepatocellular carcinoma and metastatic liver cancer between conventional ultrasound and contrast-enhanced ultrasound was not significant. However, in the diagnosis of vascular cancer, sclerosis nodule, focal nodular hyperplasia, intrahepatie cholangiocarcinoma, non-uniform fatty liver and other lesions, contrast-enhanced ultrasound is needed in order to ensure the diagnostic accuracy, but the final confirmed diagnosis shall be determined by the result of contrast-enhanced ultrasound in combination with clinical symptoms and other laboratory tests results.
出处
《中外医疗》
2016年第9期4-6,共3页
China & Foreign Medical Treatment
关键词
超声造影
常规超声
诊断
肝脏局灶性病变
Contrast-enhanced ultrasound
Conventional ultrasound
Diagnosis
Focal liver lesions
