超声造影检测诊断肝脓肿的临床价值

The CLinical valrle of Contrast-enhanced Uitrasouna in the Diagnosis of Hepatic Abscess

目的:探讨超声造影检测诊断肝脓肿的临床应用价值,并与常规超声检测法进行比较。方法:2016年1月至2019年6月本院门诊收治50例肝脓肿患者均进行常规超声与超声造影检测,比较两种检测方法对患者病灶诊断的准确率及声像图差异。结果:超声造影对肝脓肿诊断准确率为94%,明显高于常规超声的76%(P<0.05);脓肿炎性期、脓肿形成初期及脓肿形成期的影像学表现在超声造影检测时变化明显,与常规超声检测比较,差异有统计学意义(P<0.05)。结论:超声造影检测对不同分期肝脓肿患者的诊断准确性高,可为临床提供可靠的诊断依据,应在临床推广应用。

Objective:To investigate the clinical value of contrast-enhanced ultrasound(CEUS)in the diagnosis of liver abscess,and compare it with conventional ultrasound.Methods:The imaging findings of conventional ultrasound and ceUS in 50 patients with liver abscess admitted to our hospital from January 2016 to June 2019 were retrospectively analyzed,and the accuracy rate and sonogram differences of the two detection methods in lesion diagnosis were compared.Results:The diagnostic accuracy of ceUS for liver abscess was 94%,which was significantly higher than that of conventional ultrasound 76%(P<0.05).The imaging manifestations in the inflammatory stage,the early stage of abscess formation and the stage of abscess formation were significantly changed during ceUS detection,and the difference was statistically significant compared with conventional ultrasound detection(P<0.05).Conclusion:The diagnostic accuracy of contrast-enhanced ultrasonography in patients with different stages of liver abscess is high,which can provide a reliable basis for clinical diagnosis.