医学论文-彩色多普勒超声与超声造影对肝脏良性局灶性病变的鉴别诊断.docVIP

医学论文-彩色多普勒超声与超声造影对肝脏良性局灶性病变的鉴别诊断 ????????????????????????? 作者：李建辉 陈毓菁 汤庆 李琦 覃丽虹? 【摘要】? 目的：探讨彩色多普勒超声与超声造影对肝脏良性局灶性病变的鉴别诊断价值。方法：对经病理、增强CT/MRI 证实的 38 例患者 42 个肝脏良性局灶性病变进行彩色多普勒血流显像检查，然后进行实时超声造影检查。结果：①本组中良性病灶 42 个，其中血管瘤 20 个，局灶性增生结节 9 个，肝硬化增生结节 6 个，局灶性脂肪缺失 6 个，炎性结节 1 个。②彩色多普勒超声诊断良性局灶性病变 29 个（29/42，69.05%），超声造影后诊断良性局灶性病变 38 个（38/42，90.48%），二者之间诊断良性病变符合率具有显著性差异（P 0.05）。③超声造影中，肝脏血管瘤，局灶性增生结节分别具有向心性增强（18/20，90%），轮辐状增强（9/9，100%）这一特征性增强模式，可作为诊断的依据。结论：超声造影对肝脏良性局灶性病变的诊断优于彩色多普勒超声，二者互相结合有助于对肝内良性局灶性病变的鉴别诊断 【关键词】? 超声造影；彩色多普勒超声；肝局灶性病变，良性；鉴别诊断 ??? 〔Abstract〕??? Objective???? To? explore? the? clinic? value? of? differential? diagnosis? of? benign? focal? liver? lesions by? contrast? enhanced? ultrasound? and? color? Doppler? ultrasonography.??? Methods???? Thirty-eight? patients? with? 42 benign? focal? liver? lesions? were? examined? by? CnTI? US? and? color? doppler? ultrasonography,? and? all? were confirmed? by? pathology,? enhanced? CT? or? MRI.??? Results???? In? 42? benign? focal? liver? lesions? there? were? 20 hemangiomas,? 9? focal? nodular? hyperplasias,? 6? hyperplastic? nodules,? 6? focal? fatty? sparings? and? 1? inflammatory nodule.? The? diagnostic? rate? of? benign? focal? liver? lesions? had? remarkable? significance? between? color? doppler ultrasonography? 69.05%? (29/42)? and? contrast? enhanced? ultrasound? 90.48%? (38/42)? (P? ? 0.05).? The? typical enhancement? pattern? can? be? diagnostic? basis? which? showed? centripetal? fill-in? enhancement? from? periphery enhancement? in? hemangioma? and? central? spoke? wheel-shaped? enhancement? in? focal? nodular? hyperplasias? by contrast? enhanced? ultrasound.??? Conclusion???? Contrast? enhanced? ultrasound? is? better? than? color? Doppler? ultrasonography? in? diagnosing? benign? focal? liver? lesions,? the? two? technic? combined? together? could? be? helpful? in differential? diagnosising? benign? focal? liver? lesions. ??? 〔Key? Words〕??? Contrast-enhanced? ultrasound;? Color? Doppler? Ultrasonography;? Focal?