超声造影在肝脏占位性病变中的诊断价值

The diagnostic value of ultrasonography in hepatic space-occupying lesions

目的:探讨超声造影技术在不同性质肝脏占位性病变中的诊断价值。方法:2015年11月至2017年12月我科诊断的肝脏占位性病变患者65例,均进行常规超声和超声造影两种检查结果对比分析,与穿刺活检、手术后的病理结果作为评判标准。结果:对65例肝脏占位性病变患者进行超声造影检查,观察超声造影增强时相和增强类型,与病理结果对照,超声造影诊断的敏感性为96.8%、特异度为90.0%、准确性为92.9%,明显优于常规超声的65.6%、54.7%、58.8%,差异均具有统计学意义(P<0.05)。结论:超声造影在肝脏局灶性病变的良、恶性鉴别诊断中具有较高的应用价值,与常规超声检测对比,能明显提高肝实质占位性病变的良恶性的诊断率。

Objective：to explore the diagnostic value of ultrasonography in different liver lesions. Methods：in November 2015 to December 2017 I diagnosis of liver space-occupying lesions in 65 cases of patients,both conventional ultrasound and ultrasound contrast two kinds of test results contrast analysis,and biopsy,the pathological results of control study after the operation. Results：65 patients with liver space-occup- ying lesions on contrast-enhanced ultrasound exanfination,observing ultrasonic contrast enhancement and enhancement type, and pathological results comparison, the sensitivity of ultrasound imaging in the diagnosis of accuracy was 90% ,96.8% ,92.9% , is better than that of ultra- sound were 54.7 % , 65.6 % ,58.8 % , and the differences were statistically significant （ P 〈 0.05 ）. Conclusion ： contrast-enhanced ultrasonog- raphy in benign and malignant focal liver lesions of has high application value in the differential diagnosis, compared with conventional ultra- sonic testing, can significantly improve the diagnosis of benign and malignant liver space-occupying lesions.