超声造影在病毒性肝炎背景下对肝脏占位性病变的诊断价值.docVIP

精品论文 参考文献 超声造影在病毒性肝炎背景下对肝脏占位性病变的诊断价值 王世鹏 王存德 刘军德 张亚红 叶君君 王秀梅， 甘肃省武威肿瘤医院超声科 733000 【摘 要】病毒性肝炎患者肝纤维化程度不同，造影剂在病灶的显影时相与正常肝组织显影时相产生差别，以常规造影鉴别模式可能在时间把握上存在一定误差。本研究意在探讨在病毒性肝炎背景下超声造影对肝脏占位的良恶性鉴别价值，以提高临床对疾病的诊断需求。方法：选取2013年5月-2016年2月间，我科常规彩超检查不能完全明确性质的具有病毒性肝炎背景并发肝脏占位的患者，接受超声造影检查的肝脏占位的患者共95例。（其中男61例，女34例，年龄最小者19岁，最大者79岁）。结果：本组超声造影检查人次共95例，无一发生明显不良反应。对常规检查发现肝脏占位不能确定性质结节共107个，以超声造影检查后，定性为良性病变???79例，定性为恶性病变的27例。另外1例肝外病变被误诊为肝内占位性病变。结论：在具有病毒性肝炎背景合并肝脏占位的患者中，由于肝脏纤维化造成肝内微环境改变，影响了占位的血供情况，而造影剂仍旧可以清楚显示占位的血流进入时间及灌注模式，提高了对肝脏占位性病变良恶性的鉴别诊断。 【关键词】超声造影，病毒性肝炎，肝脏占位 【中图分类号】R445.1 【文献标识码】A 【文章编号】2096-0867（2016）11-218-02 Diagnostic value of contrast-enhanced ultrasound in the diagnosis of liver space occupying lesions in the background of viral hepatitis Wang Shipeng,Wang Cunde,Liu Junde,Zhang Yahong,Ye Junjun,Wang Xiumei ABSTRACT Objective:The level of virus hepatitis patients with hepatic fibrosis are different,contrast agent in the lesions of the developing phase and normal liver tissue in the developing phase difference, with conventional diagnosis and differential mode may exist certain errors in timing. The purpose of this study was to investigate the value of contrast-enhanced ultrasound in the diagnosis of benign and malignant liver lesions in patients with viral hepatitis.Methods:Select patients between 2013.5-2016.2,routine ultrasound examination can not entirely clear diagnosis properties with viral hepatitis complicated with liver space occupying lesions in patients, accept contrast-enhanced ultrasoundof hepatic occupied lesions in patients with total of 95 cases of. (of which 61 were male, 34 were female, the youngest 19 years old, the oldest was 79 years old).Result:In this group, 95 cases were examined by contrast-enhanced ultrasound with no obvious complication or adverse reaction.107 cases of liver lesions were found to be unable to determine the nature of the lesions, 79 cases of benign lesions, 27 cases of malignant lesions were identified by contrast-enhanced ultrasound.Th