实时超声造影在鉴别肝脏良-恶性病变应用价值.doc

实时超声造影在鉴别肝脏良\恶性病变应用价值【摘要】目的 探讨实时超声造影在鉴别肝脏良、恶性病变的应用价值。方法 选取本院2009年10月-2011年2月的肝脏弥漫性或局灶性病变患者104例，均进行常规B超及彩色多普勒超声检查，其中同意接受超声造影成像的73例病例作为临床研究对象。结果 本组73例病例经过实时超声造影诊断为：原发性肝癌41例（56.2%），转移性肝癌17例（23.3%），肝血管瘤9例（12.3%），肝硬化结节3例（4.1%），肝内局灶性增生2例（2.7%），局灶性肝内脂肪缺失1例（1.4%）。另外，经过统计得出，本次研究应用实时超声影像鉴别鉴别肝脏良、恶性病变的敏感度为84.3%，特异度为95.4%，诊断符合率达到93%以上。结论 实时超声造影在鉴别肝脏良、恶性病变中具有重要的应用价值，有利于提高临床诊断率和治愈率。 【关键词】实时超声造影 鉴别 肝脏 良性 恶性病变 中图分类号：R445.1 文献标识码：A 文章编号：1005-0515（2011）4-011-02 Real-time ultrasound imaging in differentiating hepatic benign and m alignant lesions of the application SONG Ding (The Third Hospital of Chengdu, Sichuan, Chengdu, Sichuan Province 610000) 【Abstract】Objective To investigate the real-time ultrasound imaging in differentiating hepatic benign and m alignant lesions of the application. Methods A hospital in October 2009 -2011 in February of the liver in patients with diffuse or focal lesions of 104 cases were routine B-and color Doppler ultrasound, ultrasound contrast imaging which agreed to accept the 73 cases as a clinical study. Results The cases of 73 cases diagnosed by real-time ultrasound: 41 cases of primary liver cancer (56.2%), metastatic liver cancer in 17 cases (23.3%), 9 cases of hepatic hemangioma (12.3%), liver cirrhosis Results Section 3 (4.1%), focal hyperplasia of the liver in 2 cases (2.7%), focal liver fat loss in 1 case (1.4%). In addition, obtained through statistical, research and application of this differential identification of liver ultrasound images of benign and m alignant lesions was 84.3% sensitivity and specificity was 95.4%, diagnostic accuracy of 93% or more. Conclusion Real-time ultrasound imaging in differentiating hepatic benign and m alignant lesions has important applications, helping improve the clinical diagnosis and cure rates. 【Key words】Real-time ultrasound identification of benign and m alignant lesions of the liver 在肝脏肿瘤患者的临床治疗中，早期诊断结果是否准确将直接影响到患者的临床疗效和预后，因此，如何进一步强化对于肝脏良、恶性病变的鉴别具有重要的意义，而且是现代内科医学发展中的关键性技术课题之一。目前，在