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| 超声造影对肝脏实质性小病灶的早期诊断价值 | |
| 引用本文： | 徐金锋,吴瑛,熊奕,彭启慧,董发进,谢明星.超声造影对肝脏实质性小病灶的早期诊断价值[J].华中科技大学学报(医学版),2008,37(2):266-269. |
| 作者姓名： | 徐金锋 吴瑛 熊奕 彭启慧 董发进 谢明星 |
| 作者单位： | 1. 华中科技大学同济医学院附属协和医院超声影像科,武汉,430022;暨南大学第二临床医学院暨深圳市人民医院超声影像科,深圳,518020 2. 暨南大学第二临床医学院暨深圳市人民医院超声影像科,深圳,518020 3. 华中科技大学同济医学院附属协和医院超声影像科,武汉,430022 |
| 摘 要： | 目的探讨实时超声造影对肝内小占位性病变的早期诊断价值。方法对65例患者共76个≤3．0cm的肝内实质性小病灶进行实时超声造影研究。所有患者均进行了增强CT或增强MRI检查，且均经手术或穿刺病理证实及随访观察。造影剂使用SonoVue，剂量2．4ml，经肘静脉团注，在动脉相、门脉相及实质相观察病灶的灌注情况。结果76个肝内实质性小病灶中，恶性病灶28个，包括肝细胞性肝癌18个，转移性肝癌10个；良性病灶48个，包括血管瘤20个，局灶性结节性增生5个，局部脂肪缺失15个，肝硬化增生结节7个，局部脂肪变性1例。肝内良恶性小占位病变在造影后灌注方式明显不同。结论应用SonoVue超声造影对肝内实质性小病灶的鉴别诊断具有较大的价值，能够明显提高检出率。 |
| 关 键 词： | 造影剂 超声造影 肝肿瘤 |
| 修稿时间： | 2007年3月3日 |
The Clinical Value of Contrast Enhanced Ultrasound in Early Differential Diagnosis of Small Focal Liver Lesions |
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| Xu Jinfeng,Wu Ying,Xiong Yi et al.The Clinical Value of Contrast Enhanced Ultrasound in Early Differential Diagnosis of Small Focal Liver Lesions[J].Journal of Huazhong University of Science and Technology(Health Sciences),2008,37(2):266-269. | |
| Authors: | Xu Jinfeng Wu Ying Xiong Yi |
| Institution: | Xu Jinfeng1,2,Wu Ying2,Xiong Yi2 et al 1Department of Ultrasound,Union Hospital,Tongji Medical College,Huazhong University of Science , Technology,Wuhan 4300222Department of Ultrasound,The Second Medical College of Jinan University & Shenzhen People\'s Hospital,Shenzhen 518020 |
| Abstract: | Objective To evaluate the value of contrast enhanced ultrasound in diagnosis of small focal liver lesions in an early stage.Methods Sixty-five patients with 76 small focal liver lesions(SFLLs) were examined by contrast enhanced ultrasound.All the patients were subjected to contrast enhanced CT or MRI,and all were confirmed by pathology.The contrast agent SonoVue was used and the dose was 2.4 ml.Bolus was injected through ulnar vein,then the perfusion of the lesions in arterial phase,portal phase and parench... |
| Keywords: | contrast media contrast enhanced ultrasound liver neoplasm |
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