综合影像学检查对肝肾间隙巨大占位病灶的定位诊断

Comprehensive Imaging Examination in Localization of Massive Space-occupying Lesions in Hepato-renal Space

目的:联合多种影像学方法运用循证医学的原理对肝肾间隙巨大占位病灶进行诊断,以提高临床医生对该疾病的诊断水平。方法:通过回顾性分析在我院经病理确诊的43例肝肾间隙巨大占位病灶患者的影像学资料,比较分析B超、CT、MRI、能量图(CDE)、彩色多普勒血流图(CDFI)以及综合影像组对肝肾间隙巨大占位病灶定位诊断的准确率。结果:在对肝肾间隙巨大占位病灶的定位诊断准确率方面,综合影像组明显高于单个影像组。结论:在临床工作中,我们可以采用多种影像学方法联合诊断肝肾间隙巨大占位病灶,以提高对该疾病定位诊断水平。

Objective：In term of the principle of Evidence-Based Medicine,we using several kinds of imaging methods in order to improve the accuracy rate on the localization of massive space-occupying lesions in hepato-renal space.Methods：Imaging data of 43 patients with massive space-occupying lesions in hepato-renal space in our hospital were retrospectively analyzed.The localizing accuracy of B-sonography,CT,MRI,color doppler energy（CDE）,color doppler flow imaging（CDFI） and comprehensive imaging were compared and analyzed,Results：The localizing accuracy of massive space-occupying lesions in hepato-renal space were higher than comprehensive imaging group.Conclusion：In clinical decisions,we can use comprehensive imaging in order to improve the accuracy rate of massive space-occupying lesions in hepato-rental space.