陈惠莉,杜联芳,白敏,顾继英,周洋,何颖倩.超声造影应用于脾脏的初步探讨[J].中国医学影像技术,2007,23(9):1355~1357
超声造影应用于脾脏的初步探讨
Contrast-enhanced ultrasound in spleen preliminary study
投稿时间:2007-03-09  修订日期:2007-06-15
DOI:
中文关键词:  超声检查  造影剂  脾脏
英文关键词:Ultrasonography  Contrast agent  Spleen
基金项目:
作者单位E-mail
陈惠莉 上海交通大学附属第一人民医院超声科,上海 200080  
杜联芳 上海交通大学附属第一人民医院超声科,上海 200080 du_lf@163.com 
白敏 上海交通大学附属第一人民医院超声科,上海 200080  
顾继英 上海交通大学附属第一人民医院超声科,上海 200080  
周洋 上海交通大学附属第一人民医院超声科,上海 200080  
何颖倩 上海交通大学附属第一人民医院超声科,上海 200080  
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中文摘要:
      目的 探讨超声造影在脾脏中的应用价值。方法 应用造影剂声诺维(SonoVue)对18例常规超声发现脾脏异常患者和10例正常对照组进行超声造影,观察并分析超声造影特征。结果 正常对照组10例造影剂充填均匀,脾动脉10~17 s开始显影,以13~14 s居多,脾实质显影比脾动脉显影慢约1~3 s。18例可疑病变的患者中,造影提示正常脾脏组织2例,脾血管瘤3例,脾梗死2例,脾恶性肿瘤4例,副脾2例,脾囊肿2例。误诊3例,其中2例脾血肿,1例脾梗死。所有病例均得到CT、MRI或手术病理证实。结论 超声造影在鉴别脾脏疾病中有一定的应用价值。
英文摘要:
      Objective To discuss the value of contrast-enhanced ultrasound (CEUS) in the spleen. Methods The spleens in 28 patients including 10 healthy cases and 18 cases with abnormal lesion were examined with 2D and CDFI.Then contrast-enhanced ultrasound with a blot injection of SonoVue was performed in 28 patients. Results After injection of the contrast agent, the microbubble signals were seen well-distributed in 10 healthy cases and 2 suspected abnormal lesion cases.Contrast-enhanced ultrasound diagnosis was:hemangioma in 3 cases, spleen infarction in 2 cases, malignant tumour in 4 cases,accessory spleen in 2 cases and misdiagnosis in 3 cases including hematomas in 2 cases and spleen infarction in 1 case.Conclusion Contrast-enhanced ultrasound has great value in the diagnosis of spleen diseases.
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