超声造影与增强CT扫描在诊断肝脏占位性病变的临床价值比较.pdfVIP

56· 中国CT和MRI杂志 2015年11月 第13卷 第11期 总第73期 论 著 O 1 0 . 3 9 6 9 / j . i s s n . 1 6 7 2 - 5131.2015.11.017 LIU Wei. Department of Ultrasonography, The First Peoples Hospital of Shangqiu, 476100, Henan Province, China b r c c e To compare the clinical value of ultrasound contrast and enhanced CT scan in differential diagnosis of hepatic lesions. od A total of 60 patients of hepatic lesions which admitted into the hospital during March 2012 to March 2015 were selected as the research objects radomly. All patients underwent ultrasound contrast and enhanced CT scan and were compared with pathological findings. The application value of ultrasound contrast and enhanced CT scan in the diagnosis of hepatic lesions was analyzed. The ultrasound contrast parameters like RT, TTP and mTT of patients with hepatic benign lesions were higher than those of patients with hepatic malignant lesions while PI index was lower than that in the malignant lesion group. The contrast differences in ultrasound contrast parameters between benign and malignant lesions were statistically significant (P0.05). Patients with hepatic malignant lesions mainly showedⅠtype curve shapes while various benign lesions mainly showedⅡ-Ⅲ type curve shapes. The diagnostic sensitivity and coincidence rate of ultrasound contrast were 90.5% and 95.0%, respectively. Compared with enhanced CT scan, the difference was statistically significant (P0.05). Conc on Ultrasound contrast can reflect the imaging information of hepatic lesions in terms of morphology, changes of dynamic curve, and data measurement. The dianostic coincidence rate is high. It and is worth to be popularized. Ultrasound Contrast; Enhanced CT; Hepatic Space Occupying Lesions; Diagnosis 肝脏占位性病变与肝内结构异常增生、炎症及代谢异常相关，是 肝脏局部病理改变的表现。病理组织学是当前诊断肝脏占位病变的金 标准，但其必须通过有创性手段获取病理标本，操作相对复杂、且有 危险性较高 [1,2] 。近几年来，随着超声医学的快速发展，超声造影技术 在临床得到推广，超声造影在肝脏占位性病变的鉴别及诊断中发挥了 重要价值。有研究者表示，其可敏感地探测病灶内血流灌注信号，实 时动态观察病灶组织血流动力学情况，提高了肝脏病变诊断的敏感度 与特异性，在良恶性肝脏占位病变的诊断中有其重要价值 [