微泡型多囊肝的超声诊断

Sonographic Diagnosis of Micro-alveolar Polycystic Liver

目的 探讨并分析微泡型多囊肝的声像图特点,以提高超声诊断的准确率。方法 回顾性分析2 6例微泡型多囊肝的声像图表现并与CT、MR图像进行对照。结果 2 6例中超声首诊明确诊断2 2例,诊断不明确2例,被误诊为肝硬化并发弥漫型肝癌2例,所有患者后经CT、MR及实验室检查被确诊为微泡型多囊肝。超声诊断符合率达84 .6 % (2 2 / 2 6 )。结论 尽管CT和MR的诊断准确率比超声高,但微泡型多囊肝的声像图仍具有特征性,有较高的临床价值。

Objective To explore the sonographic characteristics of micro-alveolar polycystic liver(MAPL) in order to improve the ultrasound diagnostic accuracy rate.Methods The ultrasound images in 26 patients were compared with CT and MRI retrospectively.Results In 26 patients,22 patients were first diagnosed definitely by ultrasound,2 patients were ambiguously and 2 patients were misdiagnosed as hepatic cirrhosis complicated with liver cancer.All patients were confirmed by CT,MRI and laboratory examination.The veracity of ultrasound diagnosis is 22/26.Conclusions Though CT and MRI are more accurate than ultrasound is ultrasound has its own superiority as is no invasion,rapidness and low expenditure for the diagnosis of this disease.