肝包虫病超声图像特征及其诊断价值

Ultrasonographic features and diagnostic value of hepatic echinococcosis

目的研究肝包虫病超声图像特征及其诊断价值。方法选取成都市公共卫生临床医疗中心2018年5月-2019年4月期间收治的50例肝包虫病患者作为研究对象,以手术病理诊断为金标准,分析超声诊断的效能以及不同型别的肝包虫病的影像学特征。结果浸润增值型、纤维钙化型、液化空洞型、内囊破裂型、钙化型肝包虫病的超声诊断与手术病理诊断的相符率为100.00%,囊肿型、多子囊型、实变型肝包虫病患者的超声诊断与手术病理诊断的相符率分别为80.00%、90.00%、92.00%;通过对肝包虫病患者的超声诊断效能分析,超声诊断的准确率为94.00%,灵敏度为97.90%,特异度为33.33%。结论肝包虫病的超声诊断具有较高的灵敏度。同时结合患者的流行病史以及血清学指标,对于患者的早期诊断具有积极意义。

Objective To study the ultrasonographic features and diagnostic value of hepatic echinococcosis.Methods Fifty patients with hepatic hydatidosis admitted to our hospital from May 2018 to April 2019 were selected as the research objects.The diagnostic efficacy of ultrasonography and the imaging characteristics of different types of hepatic hydatidosis were analyzed according to the gold standard of pathological diagnosis.Results The coincidence rate of ultrasonographic diagnosis and pathological diagnosis of invasive,fibrous calcification,liquefied cavity,ruptured internal cyst and calcified hepatic hydatidosis was 100.00%.The coincidence rate of ultrasonographic diagnosis and pathological diagnosis of cystic,polycystic and consolidated hepatic hydatidosis was 80.00%,90.00%and 92.00%,respectively.The accuracy,sensitivity and specificity were 94.00%,97.90%and 33.33%,respectively.Conclusion Ultrasound diagnosis has a good diagnostic value for hepatic hydatidosis.At the same time,combined with the epidemiological history and serological indicators of patients,it has a positive significance for early diagnosis of patients hepatic echinococcosis.