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实时超声造影诊断肝泡状棘球蚴病
引用本文:董甜甜,聂芳,魏佳琪,刘婷,卜岚,潘宏. 实时超声造影诊断肝泡状棘球蚴病[J]. 中国医学影像技术, 2015, 31(6): 872-875
作者姓名:董甜甜  聂芳  魏佳琪  刘婷  卜岚  潘宏
作者单位:兰州大学第二医院超声科, 甘肃 兰州 730030,兰州大学第二医院超声科, 甘肃 兰州 730030,兰州大学第二医院超声科, 甘肃 兰州 730030,兰州大学第二医院超声科, 甘肃 兰州 730030,兰州大学第二医院超声科, 甘肃 兰州 730030,兰州大学第二医院超声科, 甘肃 兰州 730030
摘    要:目的 评价实时CEUS诊断肝泡状棘球蚴病(HAE)的价值。方法 38例疑似HAE患者(共55个病灶)接受二维超声和CEUS检查,分析其强化形态、强化模式,并与病理结果对照。结果 经手术病理证实,HAE者32例,共45个病灶,CEUS符合率为96.42%(53/55)。二维超声表现为"脑回征"或"熔岩洞样"改变、"岛屿状"改变、不规则肿块;CEUS三期均未见强化,呈"黑洞征"。结论 相对于二维超声,CEUS可准确反映HAE病灶内部组织成分,对HAE诊断与鉴别诊断有重要价值。

关 键 词:棘球蚴病,肝  超声检查  造影剂
收稿时间:2014-11-05
修稿时间:2015-02-03

Real-time contrast enhanced ultrasound in diagnosis of hepatic alveolar echinococcosis
DONG Tian-tian,NIE Fang,WEI Jia-qi,LIU Ting,BU Lan and PAN Hong. Real-time contrast enhanced ultrasound in diagnosis of hepatic alveolar echinococcosis[J]. Chinese Journal of Medical Imaging Technology, 2015, 31(6): 872-875
Authors:DONG Tian-tian  NIE Fang  WEI Jia-qi  LIU Ting  BU Lan  PAN Hong
Affiliation:Department of Ultrasound, the Second Hospital of Lanzhou University, Lanzhou 730030, China,Department of Ultrasound, the Second Hospital of Lanzhou University, Lanzhou 730030, China,Department of Ultrasound, the Second Hospital of Lanzhou University, Lanzhou 730030, China,Department of Ultrasound, the Second Hospital of Lanzhou University, Lanzhou 730030, China,Department of Ultrasound, the Second Hospital of Lanzhou University, Lanzhou 730030, China and Department of Ultrasound, the Second Hospital of Lanzhou University, Lanzhou 730030, China
Abstract:Objective To evaluate the value of real-time CEUS in diagnosis of hepatic alveolar echinococcosis (HAE). Methods All of 38 patients with 55 lesions which were suspected to be HAE underwent two-dimensional ultrasound and CEUS, the enhancement mode and form were analyzed and compared with pathology retrospectively. Results A total of 32 HAE patients with 45 lesions were confirmed by pathology, and the coincidence rate of CEUS was 96.42% (53/55). Two-dimensional ultrasound showed "gyrus sign" or "lava tube sample" changes, "island shape" changes and irregular protrusions; CEUS showed "black holes". Conclusion Compared with the two-dimensional ultrasound, CEUS can accurately reflect the composition of the internal organization of the HAE, which has important value in diagnosis and differential diagnosis of HAE.
Keywords:Echinococcosis, hepatic  Ultrasonography  Contrast media
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