董甜甜,聂芳,魏佳琪,刘婷,卜岚,潘宏.实时超声造影诊断肝泡状棘球蚴病[J].中国医学影像技术,2015,31(6):872~875
实时超声造影诊断肝泡状棘球蚴病
Real-time contrast enhanced ultrasound in diagnosis of hepatic alveolar echinococcosis
投稿时间:2014-11-05  修订日期:2015-02-03
DOI:10.13929/j.1003-3289.2015.06.018
中文关键词:  棘球蚴病,肝  超声检查  造影剂
英文关键词:Echinococcosis, hepatic  Ultrasonography  Contrast media
基金项目:
作者单位E-mail
董甜甜 兰州大学第二医院超声科, 甘肃 兰州 730030  
聂芳 兰州大学第二医院超声科, 甘肃 兰州 730030 fang-nie@163.com 
魏佳琪 兰州大学第二医院超声科, 甘肃 兰州 730030  
刘婷 兰州大学第二医院超声科, 甘肃 兰州 730030  
卜岚 兰州大学第二医院超声科, 甘肃 兰州 730030  
潘宏 兰州大学第二医院超声科, 甘肃 兰州 730030  
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中文摘要:
      目的 评价实时CEUS诊断肝泡状棘球蚴病(HAE)的价值。方法 38例疑似HAE患者(共55个病灶)接受二维超声和CEUS检查,分析其强化形态、强化模式,并与病理结果对照。结果 经手术病理证实,HAE者32例,共45个病灶,CEUS符合率为96.42%(53/55)。二维超声表现为"脑回征"或"熔岩洞样"改变、"岛屿状"改变、不规则肿块;CEUS三期均未见强化,呈"黑洞征"。结论 相对于二维超声,CEUS可准确反映HAE病灶内部组织成分,对HAE诊断与鉴别诊断有重要价值。
英文摘要:
      Objective To evaluate the value of real-time CEUS in diagnosis of hepatic alveolar echinococcosis (HAE). Methods All of 38 patients with 55 lesions which were suspected to be HAE underwent two-dimensional ultrasound and CEUS, the enhancement mode and form were analyzed and compared with pathology retrospectively. Results A total of 32 HAE patients with 45 lesions were confirmed by pathology, and the coincidence rate of CEUS was 96.42% (53/55). Two-dimensional ultrasound showed "gyrus sign" or "lava tube sample" changes, "island shape" changes and irregular protrusions; CEUS showed "black holes". Conclusion Compared with the two-dimensional ultrasound, CEUS can accurately reflect the composition of the internal organization of the HAE, which has important value in diagnosis and differential diagnosis of HAE.
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