超声造影在腹部脏器病变诊断中的应用价值

Diagnosis of Abdominal Organs Diseases by Contrast-Enhanced Ultrasonography

目的探讨超声造影在腹部脏器肝、胆、脾和肾疾病诊断中的应用价值.方法对肝脏病变27例,胆囊壁占位病变30例,肾病变5例,肾损伤5例和脾病变6例患者进行超声造影检查.结果肝脏病变27例中肝细胞性肝癌3例,转移肝癌4例,肝脓肿4例,血管瘤10例,肝破裂并活动性出血3例,失访3例超声报告符合率约90%;胆囊壁占位病变30例中,超声造影考虑息肉,手术病理诊断全部符合息肉,超声报告符合率100%;肾病变5例,其中肾脓肿1例、肾柱肥大1例、肾血管瘤3例;肾损伤5例:其中挫裂伤3例,破裂并活动性出血2例,肾挫裂伤约61%,肾破裂出血约50%,肾脓肿和肾血管瘤均约100%;脾病变6例:其中脾梗塞1例、脾脓肿1例、脾破裂并出血4例,超声报告符合率约100%.结论超声造影在腹部脏器肝、胆、脾和肾疾病诊断方面具有较高的临床应用价值.

Objective To investigate the efficacy of contrast-enhanced ultrasound （CEUS） in diagnosing liver, gallbladder, spleen and renal diseases. Methods 27 patients with liver diseases, 30 patients with gallbladder diseases, 5 patients with renal diseases, 5 patients with renal trauma and 6 patients with spleen disease were examined by CEUS. Results There were 3 cases of primary hepatocellular carcinomas, 4 cases of metastatic hepatic carcinomas, 4 cases of liver abscess, 10 cases of hepatic hemangiomas and 3 cases of liver repture with active bleeding. The diagnostic coincidence rate of CEUS was 90%. 30 patients with gallbladder polyposis were diagnosed by CEUS, and the diagnostic coincidence rate was 100%. 5 cases with renal diaseses included 1 of renal abscess, 1 of renal column hypertrophy and 3 of renal hemangioma. In 5 cases with renal trauma, there were 3 cases with renal contusion and 2 cases with renal rupture and active bleeding. The coincidence rate was 61%. In 6 cases with spleen diseases, there were 1 case with splenic infraction, 1 case with splenic abscess and 4 cases with splenic rupture and hemorrhage. The coincidence rate was 100%. Conclusion CEUS has great value of clinical application in diagnosis of liver, gallbladder, spleen and renal diseases.