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。
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 of32 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.
出处
《中国医学影像技术》
CSCD
北大核心
2015年第6期872-875,共4页
Chinese Journal of Medical Imaging Technology
关键词
棘球蚴病
肝
超声检查
造影剂
Echinococcosis
hepatic
Ultrasonography
Contrast media
