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超声造影在肝脏占位病变诊断中的应用
引用本文:秦颖,张家庭,唐远志,倪勇. 超声造影在肝脏占位病变诊断中的应用[J]. 岭南现代临床外科, 2009, 9(1): 24-26
作者姓名:秦颖  张家庭  唐远志  倪勇
作者单位:1. 深圳市第二人民医院普外科,518029
2. 深圳市第二人民医院超声科,518029
摘    要:目的探讨不同肝脏占位病变在超声造影中的增强特征。方法对45例肝脏占位病变患者进行超声造影检查,并实时观察病灶内灌注过程及回声变化。结果肝细胞肝癌表现为动脉相快速增强,并在门脉相快速消退:肝血管瘤呈现自周围向心性缓慢充填式增强或周边增强,持续较长时间;肝局灶结节性增生(FNH)表现为快速增强,在实质相开始消退;肝转移癌表现为动脉相周边增强;肝炎性假瘤(IPL)和肝硬化增生结节大多在动脉相、门脉相及实质相均未见异常增强和廓清区。结论不同性质的肝脏占位病变在超声造影中有不同的增强方式,可为肝脏占位的鉴别诊断提供依据。超声造影有良好的临床应用前景。

关 键 词:彩色多普勒血流显像  超声造影  肝脏占位病变

Application of contrast-enhanced ultrasonography in diagnosis of liver space-occupying lesions
Qin Ying,Zhang Jia-ting,Tang Yuan-zhi,Ni Yong. Application of contrast-enhanced ultrasonography in diagnosis of liver space-occupying lesions[J]. Lingnan Modern Clinics in Surgery, 2009, 9(1): 24-26
Authors:Qin Ying  Zhang Jia-ting  Tang Yuan-zhi  Ni Yong
Affiliation:Qin Ying,Zhang Jia ting,Tang Yuan zhi,Ni Yong. 1.Depatrment of Hepatobiliary Surgery,Shenzhen Second People's Hospital,Guangdong 518035,2.Department of Ultrasound
Abstract:Objective To investigate the characterization of liver space-occupying lesions in real-time contrast enhanced ultrasound. Methods 45 patients with focal hepatic lesions were examined by contrast-enhanced ultrasound. And the process of perfusion and change of echo in foci were observed. Results After injection of Sono- Vue, HCC showed the enhance greatly and quickly in arterial phase and rapid disappearance in the portal venous phase. Hepatic hemangioma showed centripetal filling enhance pattern or showed pe...
Keywords:Color Dopper blood flow image  Contrast enhanced ultrasonography  Liver space- occupying lesions  
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