1.5T磁共振DWI序列扫描鉴别诊断良恶性肝脏肿瘤的临床效果分析.docxVIP

1.5T磁共振DWI序列扫描鉴别诊断良恶性肝脏肿瘤的临床效果分析 　　【摘要】目的：探究1.5t磁共振擴散加权成像（dwi）序列扫描鉴别诊断良恶性肝脏肿瘤的临床价值。方法：选取2017年5月-2018年7月于本院接受治疗的88例（128处病灶）肝脏肿瘤患者，所有患者均行常规序列扫描及1.5t磁共振dwi序列扫描。以病理学检查为“金标准”，分析病理学检查结果、对比肝脏良恶性病变不同b值下的adc值及常规序列扫描、dwi序列扫描在鉴别良恶性肝脏肿瘤中的临床价值。结果：128处肝脏病灶中，良性56处，恶性72处。相比于肝脏良性病变，恶性病变的adc3b值、adc10b值及adchigh值均较低，adcperf值较高，差异均有统计学意义（p0.05）;但肝脏良恶性病变adclow值比较，差异无统计学意义（p0.05）;常规序列扫描诊断恶性肝脏肿瘤灵敏度为72.22%、特异度为80.36%及准确度为75.78%，低于dwi序列扫描的95.83%、96.43%、96.09%，差异均有统计学意义（p0.05）。结论：1.5t磁共振dwi序列扫描在良恶性肝脏肿瘤诊断中具有较高的应用价值，通过测量adc值可明确病变性质，为临床诊断提供参考依据，值得推广应用。 　　【关键词】肝脏肿瘤良恶性病变磁共振扩散加权成像诊断价值 　　effectof1.5tmrdwisequencescanninginthedifferentialdiagnosisofbenignandmalignantlivertumors/sangqiangzhang，chenxungui.//medicalinnovationofchina，2020，17（13）：124-127 　　[abstract]objective：toexploretheclinicalvalueof1.5tmagneticresonance（mr）diffusionweightedimaging（dwi）inthedifferentialdiagnosisofbenignandmalignantlivertumors.method：frommay2017tojuly2018，88patients（128lesions）withlivertumortreatedinourhospitalwereselected.allpatientsunderwentroutinesequencescanningand1.5tmrdwisequencescanning.basedonthe“goldstandard”ofpathologicalexamination，weanalyzedtheresultsofpathologicalexamination，comparedtheadcvalueofdifferentbvaluesofliverbenignandmalignantlesions，andtheclinicalvalueofroutinesequencescanninganddwisequencescanninginthedifferentiationofbenignandmalignantlivertumors.result：paredwithbenignliverlesions，adc3b，adc10bandadchighofmalignantliverlesionswerelower，adcperfwashigher，thedifferenceswerestatisticallysignificant（p0.05）.however，comparedwiththeadclowvalueofbenignandmalignantliverlesions，thedifferencewasnotstatisticallysignificant（p0.05）.thesensitivityofroutinesequencescanningtodiagnosemalignantlivertumorwas72.22%，specificitywas80.36%andaccuracywas75.78%，whichwerelowerthan95.83%，96.43%，96.09%ofdwisequencescanning，thedifferenceswerestatisticallysignificant（p0.05）.conclusion：1.5tmrdwisequencescanninghasahighvalueinthediagnosisofbenignandmalignantlivertumors.bymeasuringtheadcvalue，thenatureofthelesionsc