彩超检查肝血管瘤60例剖析.docVIP

彩超检查肝血管瘤60例剖析 　　doi：10.3969/j.issn.1007-614x.2014.20.70 　　摘 要 目的：探讨彩超检查肝血管瘤的临床价值。方法：2013年1月-12月收治肝血管瘤患者60例，以彩超进行重复检查，比较该检查方法的结果与实际结果的吻合率，判定彩超检查肝血管瘤的应用价值。结果：彩超对肝血管瘤的检出率88.3%（53/60）。且由彩超声像图显示可知，病灶周边分界清晰，轮廓鲜明，回声正常。并根据病灶回声强弱可将图像分为强回声25例，等回声15例，混合声10例，低回声10例。结论：彩超对肝血管瘤的诊出率较高，但较易发生误诊漏诊等情况，医护人员行彩超检查时应多次重复，也可结合CT、MRI等其他检查方法降低误诊、漏诊率。 　　关键词 彩超 肝血管瘤 分析 价值 　　Analyze the diagnosis of color doppler ultrasound in 60 cases with hepatic hemangioma 　　Liu Jingying 　　Xiezhuang Coal Mine Hospital of Xinwen Mining Group Company，271221 　　Abstract Objective：To investigate the clinical value of color doppler ultrasound in the diagnosis of hepatic hemangioma.Methods：60 cases with hepatic hemangioma were selected from January to December 2013.They were treated with repeated examination of color doppler ultrasound.Observed the coincidence rate between the examination results and the actual results，to determine the application of color doppler ultrasound examination on hepatic hemangioma.Results：The detection rate of color doppler sonography in the diagnosis of hepatic hemangioma was 88.3%（53/60）.And the color doppler ultrasound sonography displayed that the peripheral lesions with clear boundary and contour，the echo of it was normal.And the image can be divided into 25 cases of strong echo，15 cases of equal echo，10 cases of mixed sound，10 cases of low echo according to the lesion echo.Conclusion：Color doppler sonography has higher diagnosis rate in the diagnosis of hepatic hemangioma，but the misdiagnosis often occurred.Repeated examination of color doppler ultrasound combined with CT，MRI and other inspection methods can help medical staff to reduce the rate of misdiagnosis. 　　Key words Color doppler sonography；Hepatic hemangioma；Anlysis；Value 　　肝血管瘤是常见的一类肝部良性肿瘤，早发现、早治疗在对肝血管瘤疾病控制上具有重要意义[1]。近年来，临床上的影像学检测发展迅速，对该类疾病的诊出率较高。我院对患者行彩超进行诊断检查，具体情况如下。 　　资料与方法 　　2013年1月-12月收治肝血管瘤患者60例，男40例，女20例，年龄30～62岁，平均（51.1±2.8）岁。病灶单发患者50例，多发患者10例。 　　方法：①仪器：GEL7型彩色多普勒超声诊断仪。②方法：设置超声仪的各个参数，调节探头频率3.5～5.0 MHz