摘要
分析超声检查在肝脏血管瘤的诊断应用价值.方法选取浙江省医疗健康集团杭州医院2017年6月至2018年6月确诊的肝脏血管瘤患者60例作为研究对象,采用回顾性的方式分析患者的临床资料,观察诊断结果.结果 60例肝脏血管瘤患者经超声检查的图像特征为:46例为强回声型,占总数的76.67%.运用超声检查的手段,能够发现肝内圆形或是椭圆形存在回声增强结节的征象,并且图像边缘相对清晰;8例为弱回声型,占总数的13.33%,瘤体内可见蜂窝状或网眼状低密度透声区,边缘比较清晰,呈不规则状;另外6例为混合回声型,占总数的10.0%,超声显像为形态规则或欠规则,边缘清晰.超声对肝脏血管瘤诊断特异性为65.0%,低于CT检查的87.50%;B超的诊断敏感性为96.67%,准确率为97.33%;略低于CT检查的98.21%、97.50%,但差异均无统计学意义(χ^2 =4.15、2.11、0.01,均P>0.05).结论超声检查在肝脏血管瘤中具有良好的诊断应用价值,值得在临床上应用推广.
Objective To analyze the clinical value of ultrasound in the diagnosis of hepatic hemangioma. Methods Sixty patients with hepatic hemangioma diagnosed in the Hangzhou Hospital of Zhejiang Medical Health Group from June 2017 to June 1818 were selected.The clinical data of the patients were analyzed retrospectively and the diagnosis results were observed.Results The images of 60 patients with hepatic hemangioma underwent ultrasonography:46 cases were strongly echogenic ,accounting for 76.67% of the total.Ultrasound examination could be used to detect the presence of echogenic enhancement nodules in the round or oval shape of the liver ,and the edges of the image were relatively clear;8 cases were weak echo type ,accounting for 13.33% of the total,and the tumor could be seen in the honeycomb or the mesh -like low-density sound-transparent area had clear edges and irregular shapes.The other 6 cases were mixed echo type ,accounting for 10.0%of the total.Ultrasound imaging was regular or under-rule and the edges were clear.Ultrasound diagnosis of liver hemangioma was 65.0%,which was lower than 87.50%of CT examination.The diagnostic sensitivity of B -ultrasound was 96.67%,and the accuracy rate was 97.33%,which were slightly lower than 98.21% and 97.50% of CT examination, but the differences were not statistically significant(χ^2 =4.15,2.11,0.01,all P>0.05).Conclusion Ultrasound has good diagnostic value in hepatic hemangioma and it is worthy of promotion in clinical application.
作者
郑玉梅
郭燕鑫
Zheng Yumei;Guo Yanxin(Department of Ultrasound,Hangzhou Hospital,Zhejiang Medical Health Group,Hangzhou,Zhejiang 310022,China)
出处
《中国基层医药》
CAS
2019年第18期2257-2260,共4页
Chinese Journal of Primary Medicine and Pharmacy
