典型、非典型肝脓肿病灶的超声声像图特征分析

Analysis on Ultrasonographic Features of Typical,Atypical Liver Abscess Lesions

目的:观察分析典型、非典型肝脓肿病灶的超声声像图特征,总结其临床诊断价值。方法:选取我院2009年4月至2011年4月26例经手术病理检查证实为肝脓肿的患者,对其超声声像图特征进行回顾性分析。结果:二维超声诊断肝脓肿的符合率为91.3%,典型、非典型肝脓肿声像图具体表现中的病灶直径及发病位置比较存在一定差异(P<0.05),具有统计学意义。结论:采用二维超声诊断肝脓肿与手术病检的符合率较高,尤其对典型肝脓肿的诊断率较高,能对病灶进行准确定位;对部分未能确诊,尤其是非典型肝脓肿诊断困难的患者,可进一步采取超声造影进行准确的定性诊断。

Objective： To observe the analysis of typical,atypical liver abscess lesions of ultrasonographic features,summarize the clinical diagnosis value.Methods： in our hospital from 2009April to 2011April,26 cases confirmed by operation and pathology examination confirmed liver abscess patients,the ultrasonographic features were analyzed retrospectively.Results： two dimensional ultrasonography in the diagnosis of hepatic abscess of the coincidence rate is 91.3%,the typical,atypical liver abscess ultrasonography manifestation of lesion diameter and the position of incidence of comparative differences（P〈0.05）,with statistical significance.Conclusion： the use of ultrasonography in the diagnosis of liver abscess associated with operation disease with higher rate,especially for atypical liver abscess diagnosis rate is higher,can focus on the accurate positioning;on the part of failed to confirm the diagnosis,especially in atypical liver abscess diagnosis difficult patients,may take further ultrasound contrast for accurate qualitative diagnosis.