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肝脏局灶性结节性增生的超声影像特征
引用本文:周成香,刘亚斌,罗渝昆. 肝脏局灶性结节性增生的超声影像特征[J]. 实用医院临床杂志, 2011, 8(1): 34-37
作者姓名:周成香  刘亚斌  罗渝昆
作者单位:1. 成都医学院第一附属医院超声科,四川,成都,610500
2. 成都医学院第一附属医院放射科,四川,成都,610500
3. 中国人民解放军总医院超声科,北京,100853
摘    要:目的探讨肝脏局灶性结节性增生(focal nodular hyperplasia,FHN)的超声影像特征。方法经病理诊断或其他增强影像学检查及随访证实的35例FNH患者共45枚病灶,均行二维灰阶超声和彩色多普勒超声检查,其中20例患者的20枚病灶进行了超声造影检查。结果二维灰阶超声表现主要为肝内低回声或偏低回声局灶性病灶(88.9%),而且界限显示欠清;彩色多普勒超声检查43枚(95.6%)显示病灶内的血流信号,37枚(86.0%)可见连续条状血流信号,25枚(67.6%)表现为"轮辐状";超声造影检查动脉早期20枚病灶均表现为整体高增强,其中14枚(70%)表现为轮辐状增强,门脉期11枚(55%)病灶中央或偏心部位出现无增强瘢痕的征象;延迟期15枚(75%)表现为等增强,4枚(20%)表现为高增强,1枚(5%)表现为低增强。结论二维灰阶超声和彩色多普勒超声联合应用可检测出典型病灶的部分特征,但都无法检测FNH的微血管灌注情况,而超声造影可检测到病灶动脉早期、门脉期、延迟期显著的病变特征,明显提高诊断准确性。

关 键 词:超声  局灶性结节性增生  肝脏  彩色多普勒超声

Ultrasound features of hepatic focal nodular contrast-enhanced hyperplasia
ZHOU Cheng-xiang,LIU Ya-bin,LUO Yu-kun. Ultrasound features of hepatic focal nodular contrast-enhanced hyperplasia[J]. Practical Journal of Clinical Medicine, 2011, 8(1): 34-37
Authors:ZHOU Cheng-xiang  LIU Ya-bin  LUO Yu-kun
Affiliation:ZHOU Cheng-xiang1a,LIU Ya-bin1b,LUO Yu-kun2(1 a.Department of Ultrasound,The First Affiliated Hospital of Chengdu Medical College,Chengdu 610500,China,b.Department of Radiology,2.Department of Ultrasound,301 Military Hospital of China,Beijing 100853,China)
Abstract:Objective To evaluate the manifestations of focal nodular hyperplasia on conventional grey scale,color Doppler and contrast-enhanced ultrasound(CEUS),and compare the diagnostic performance of different methods.Methods Thirty-five patients with 45 focuses of infection underwent conventional grey scale and color Doppler ultrasound examination,while 20 of them underwent CEUS examination.CEUS was performed with SonoVue and contrast pulse sequence(CPS).Results By conventional grey scale ultrasound,40(88.9%) focu...
Keywords:Ultrasound  Focal nodular hyperplasia  Liver  Color Doppler ultrasound  
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