|
|
|
| The value of contrast-enhanced ultrasound in the diagnosis of intrahepatic focal lesions |
| WANG Hao1 SONG Yan1▲ DENG Ya-qin2 Gan Li-Hong3 |
1.Department of Ultrasound,the Third Affiliated Hospital of Nanchang University,Jiangxi Province,Nanchang 330008,China;
2.Department of Obstetrics and Gynecology,the Third Affiliated Hospital of Nanchang University,Jiangxi Province,Nanchang 330008,China;
3.Department of Digestive,the Third Affiliated Hospital of Nanchang University,Jiangxi Province,Nanchang 330008,China |
|
|
|
|
Abstract Objective To evaluate the value of contrast-enhanced ultrasound(CEUS)compared with conventional Ultrasound (US)and enhanced CT (CECT)in the diagnosis and differential diagnosis of atypical hepatic focal lesions(FLL).Methods In our hospital from January 2014 to December 2017,36 patients with 40 FLL were respectively given US,CEUS and CECT examination,using pathological results as the gold standard,the test results of three groups were compared with pathological findings of test sensitivity,specificity,accuracy three groups was compared.Results With pathological results as the gold standard of US in the diagnosis of FLL the sensitivity,specificity and accuracy were 63.3%(19/30),60.0%(6/10),62.5%(25/40);CEUS diagnosis of FLL the sensitivity,specificity and accuracy were 93.3%(28/30),80.0%(8/10),90.0%(36/40).The sensitivity,specificity and accuracy of CECT in the diagnosis of FLL were 90.0%(27/30),80.0%(8/10),and 87.5%(35/40),respectively.The sensitivity and accuracy of CEUS and CECT in the diagnosis of atypical FLL were significantly better than those of US(P＜0.05）.There was no significant difference between CEUS and CECT in the diagnosis of FLL(P＞0.05）.Conclusion CEUS and CECT have high clinical value in the differential diagnosis of atypical FLLand benign and malignant lesions,which are all higher than those of US.
|
|
|
|
|
|
| [1] |
钱滢，周平，田双明，等.超声造影参数成像对不典型表现的肝脏局灶性病变的诊断价值[J].中国超声医学杂志，2011，27（9）：823-826.
|
| [2] |
陈建华.超声造影对肝脏局灶性病变定性诊断的临床效果评估[J].临床合理用药，2014，7（8）：108-109.
|
| [3] |
Xuan ZD，Zhou L，Wang Y，et al.Prognostic value of the combination of serum levels of vascular endothelial growth factor，C-reactive protein and contrast-enhanced ultrasound in patients with primary liver cancer who underwent transcatheter arterial chemoembolization[J].Expert Rev Anticancer Ther，2017，17（12）：1169-1178.
|
| [4] |
袁树芳，李凯，郑荣.等.超声-CT/MR融合成像分析肝局灶性病变常规超声显示困难的原因[J].中华超声影像学杂志，2014，23（3）：235-238.
|
| [5] |
蒋泽波，常青，谢志刚，等.超声造影对肝脏肿瘤良恶性鉴别诊断的临床价值[J].中国医药科学，2014，4（22）：93-95.
|
| [6] |
武晓燕.超声造影对肝脏局灶性病变性质的鉴别诊断价值[J].中国现代药物应用，2014，8（7）：51-53.
|
| [7] |
Li F，Han J，Han F，et al.Combined hepatocellular cholangiocarcinoma（biphenotypic）tumors：potentialroleofcontrastenhanced ultrasound in diagnosis[J].AJR Am J Roentgenol，2017，209（4）：767-774.
|
| [8] |
乔英艳，王兴华，马霞，等.肝脏局灶性病变超声造影与增强CT动脉期增强特征的对比研究[J].中国超声医学杂志，2013，29（1）：48-50.
|
| [9] |
尚国栋，刘俊德，李付民，等.超声造影在肝脏恶性肿瘤诊断中的应用价值[J].中国初级卫生保健，2015，29（5）：137-138.
|
| [10] |
雒大健，张志勇，全艳，等.超声造影对典型与非典型肝癌的鉴别诊断[J].实用癌症杂志，2017，32（4）：571-574.
|
| [11] |
Corvino A，Catalano O，Setola SV，et al.Contrast-enhanced ultrasound in the characterization of complex cystic focal liver lesions[J].Ultrasound Med Biol，2015，41（5）：1301-1310.
|
| [12] |
何俊俊.超声检查与超声造影对肝脏占位性病变的诊断价值[J].泰山医学院学报，2016，37（9）：1038-1040.
|
| [13] |
赵志华，廖锦堂，唐宏伟.超声造影在肝脏局灶性病变定性诊断中的价值[J].临床超声医学杂志，2014，16（9）：637-640.
|
| [14] |
王丽，唐少珊，张雅丽.超声造影和增强CT诊断肝脏恶性病变的 ROC 曲线分析[J].中国当代医药，2015，22（3）：90-91.
|
|
|
|
