声造影在胆囊胆固醇息肉诊断中的应用价值.docVIP

超声造影在胆囊胆固醇息肉诊断中的应用价值 堡医超声杂志(IU子版)2011年7月第8卷第7期ChinJMedUltrasound(ElectronicEdition),Julv2011.V0l8.No.7.9. . 临床研究. 超声造影在胆囊胆固醇息肉诊断中的应用价值 袁海霞丁红刘厚宝金赘杰王文平 【摘要】目的探讨胆囊胆固醇性息肉实时超声造影表现.方法对45个经手术病理证实的 胆囊胆固醇性息肉的超声影像资料进行回顾性分析.常规超声观察息肉的大小,形态,回声,血流参 数.超声造影观察息肉的增强时相及增强方式.结果45个胆固醇息肉,直径5—23mm,平均 (9.47±4.48)mm.直径≥10mm的息肉100%(17/17)测及血流,lt;10mm的息肉38.9%(11/28)测 及血流.流速范围0.11—0.28m/s,阻力指数0.51～0.65.实时超声造影显示45个息肉均有增强, 41个(91.1%,41/45)胆囊病灶增强快于肝实质,4个(8.9%,4/45)与肝实质同步增强,而减退方式 上,21个(46.7%,21/45)减退慢于肝实质,22个(48.9%,22/45)与肝实质同步减退,2个(4.4%, 2/45)快于肝实质,表现为稍低回声.增强方式上,蜂窝样增强38个(84.4%,38/45),整体增强7个 (15.6%,7/45).结论超声造影可提高胆固醇性息肉的血流显示率,慢于或同步于肝实质减退及蜂 窝样增强的表现对其诊断有重要意义. 【关键词】超声检查;造影剂;胆囊胆固醇息肉 Thevalueofcontrast-enhancedultrasonographyincholesterolpolypofgallbladderYUANHai—xia, DINGHong.LIUHou—baolNYun-jie,WANGWen-ping.DepartmentofUltrasoundZhongshanHospitalof FudanUniversity,Shanghai200032,China Correspondingauthor:WANGWen-ping,Email:puguang61@126.com 【Abstract】ObjectiveToinvestigatethesignificantperformanceofgallbladdercholesterolpolypsby conventionalandreal—timecontrast-enhancedultrasound(CEUS).MethodsThedataofultrasoundimage inthe45patientswithgallbladdercholesterolpolypswereretrospectivelyanalyzed.Thesize,shape,inner echoandbloodparameterswereobservedbyconventionalultrasound.Theenhancedphaseandpatternofthe polypswereobservedbyCEUS.ResultsOfallthe45polyswiththemaximumdiameterrangingfrom5mm to23mm(average9.474-4.48mm),bloodflowsignalsweredetectedin17polypswiththediameterlarger than10mm(17/17,100%)and11casessmallerthan10mm(38.9%,11/28).Thevelocityinthe polypsrangedfrom0.11to0.28m/sandRIfrom0.51to0.65.A1lthecaseswereenhanced(45/45, 100%)byCEUS.Comparedwithadjacentliverparenchyma,91.1%(41/45)ofthepolypswerequickly enhancedand8.9%(4/45)weresynchronouslyenhanced,46.7%(21/45)wereslow,48.9%(22/45) weresynchronousand4.4%(2/45)quicklydecreased.Honeycomb—likeenhancementappearedin38 polyps(38/45,84.4%)andoverallenhancementin7polyps(7/45,15.6%).ConclusionCEUScould slowlyimprovetheflowsignalsdisplayingrateofgallbladdercho