郭君,梁媛,严剑英,刘焱.实时超声造影鉴别诊断肝脏良、恶性病变[J].中国医学影像技术,2008,24(9):1434~1437
实时超声造影鉴别诊断肝脏良、恶性病变
Clinical value of real time contrast-enhanced ultrasound in differentiating benign and malignant liver lesions
投稿时间:2008-04-07  修订日期:2008-06-05
DOI:
中文关键词:  肝脏  造影剂  超声检查,介入性
英文关键词:Liver  Contrast media  Ultrasonography, interventional
基金项目:
作者单位E-mail
郭君 航天中心医院超声科,北京 100049 guojun0316@163.com 
梁媛 航天中心医院超声科,北京 100049  
严剑英 航天中心医院超声科,北京 100049  
刘焱 航天中心医院超声科,北京 100049  
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中文摘要:
       目的 探讨实时超声造影在肝脏病变良恶性鉴别诊断中的应用价值。方法 应用新型超声对比剂SonoVue与低机械指数实时脉冲反向谐波超声造影技术,对103 例肝脏局灶性和弥漫性病变患者进行常规超声与超声造影比较研究,其中经穿刺活检、手术或临床确诊的79例作为本文研究对象。结果 79例肝脏病变患者具有不同的超声造影增强时相和增强类型,与病理结果对照,常规超声与实时超声造影对肝脏病变的诊断准确性分别为34.2%(27/79)和88.6%(70/79),两者差异有显著性。结论 实时超声造影技术在肝脏局灶性病变的良恶性诊断和鉴别诊断中具有重要的临床应用价值。
英文摘要:
      Objective To explore the clinical value of real time contrast-enhanced ultrasound (CEUS) in differentiating benign and malignant liver lesions. Methods A total of 79 patients with liver diseases confirmed by biopsy, surgery or clinical course were enrolled. Baseline sonography and pulse-inversion contrast sonography were performed on 103 patients with focal or diffuse liver disease. Results Different ultrasound enhancement phases and patterns were found in 79 patients with liver diseases. Contrast-enhanced ultrasound had better diagnosis accuracy(88.6%, 70/79) than baseline sonography (34.2%, 27/79). Conclusion Contrast-enhanced ultrasound has significant clinical value in diagnosis and differentiating benign and malignant focal liver lesions.
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