超声造影与彩色多普勒超声在肝肿瘤诊断中的效果对比

Comparison of Contrast-enhanced Ultrasonography and Color Doppler Ultrasonography in the Diagnosis of Hepatic Tumors

目的对比分析在诊断肝肿瘤过程中超声造影与彩色多普勒超声的诊断效果。方法本次实验研究回顾性分析2017年12月至2018年12月在我院接受肝肿瘤治疗患者65例的临床资料,所有患者均经过病例确诊为肝肿瘤,分别给予患者超声造影检查以及彩色多普勒超声检查,对两种检查方法的诊断效果进行分析和比较。结果超声造影检查真阳性率、真阴性率均明显高于彩色多普勒超声检查(P<0.05);超声造影检查假阳性率、假阴性率明显低于彩色多普勒超声检查(P<0.05);超声造影检查肝血管瘤、转移性肝癌、原发性肝癌以及肝内胆管瘤定性诊断准确率均明显高于彩色多普勒超声检查(P<0.05);超声造影与彩色多普勒检查良性、恶性病变患者Vmax无明显差异(P>0.05);超声造影与彩色多普勒超声检查测的恶性病变RI明显高于良性病变(P<0.05),但是2种检查方法之间RI值相比无统计学差异(P>0.05)。结论在为肝肿瘤患者实施诊断的过程中超声造影的效果优于彩色多普勒超声检查,其可以更加准确的判断患者的病情,同时,也可以较好对患者进行疾病定性诊断,区分患者的良恶性病变,诊断价值较高,可以作为肝肿瘤患者的首选诊断方法进行广泛的临床推广以及运用。

Objective To compare and analyze the diagnostic effect of contrast-enhanced ultrasound and color Doppler ultrasound in the diagnosis of liver tumors.Methods The clinical data of 65 patients with hepatic tumors treated in our hospital from December 2017 to December 2018 were retrospectively analyzed.All patients were diagnosed as hepatic tumors.Contrast-enhanced ultrasound(CEUS)and color Doppler ultrasound(CDFI)were given to the patients respectively.The diagnostic effects of the two methods were analyzed and compared.Results The true positive rate and true negative rate of contrast-enhanced ultrasonography were signifi cantly higher than those of color Doppler ultrasonography(P<0.05);the false positive rate and false negative rate of contrast-enhanced ultrasonography were significantly lower than those of color Doppler ultrasonography(P<0.05);the qualitative diagnostic accuracy of contrast-enhanced ultrasonography for hepatic hemangioma,metastatic hepatocellular carcinoma,primary hepatocellular carcinoma and intrahepatic cholangioma was signifi cantly higher than that of color Doppler ultrasonography.Ultrasound examination(P<0.05);contrast-enhanced ultrasound and color Doppler examination of benign and malignant lesions in patients with Vmax no signifi cant difference(P>0.05);contrast-enhanced ultrasound and color Doppler ultrasound detection of malignant lesions RI was signifi cantly higher than that of benign lesions(P<0.05),but there was no statistical difference between the two methods of RI value(P>0.05).Conclusion Contrast-enhanced ultrasonography is superior to color Doppler ultrasonography in the diagnosis of patients with liver tumors.It can more accurately judge the patient's condition.At the same time,it can better diagnose the patients'disease qualitatively,distinguish the benign and malignant lesions of patients,and has a higher diagnostic value.It can be used as the fi rst choice of diagnostic methods for patients with liver tumors for wide clinical promotion.And its application.