摘要
目的探索多普勒超声与超声造影对肝脏占位性病变穿刺活检的诊断价值。方法在2016年10月—2017年10月期间方便选取117例疑似肝脏占位性病变患者为实验对象,且均进行超声造影和多普勒超声诊断和引导。结果该次研究中,诊断正确率最高的为联合诊断,其次为超声造影,组间相比差异有统计学意义(χ^2=15.265,P<0.05),从单方面诊断结果相比,超声造影敏感性(86.00%)、特异性(70.59%)高于多普勒超声;超声造影对病灶大小诊断总正确率(86.00%)、对疾病类型诊断总正确率(86.00%)均高于多普勒超声(χ^2=15.265、16.325,P<0.05)。结论超声造影在肝脏占位性病变穿刺活检中价值性更高,但通过联合诊断,更能够降低失误率和漏诊率。
Objective To explore the diagnostic value of Doppler ultrasound and contrastenhanced ultrasound in the biopsy of hepatic space-occupying lesions.Methods A total of 117 patients with suspected hepatic space-occupying lesions were convenient selected from October 2016 to October 2017,and were diagnosed and guided by contrast-enhanced ultrasound and Doppler ultrasound.Results In this study,the highest diagnostic accuracy was the combined diagnosis,followed by contrast-enhanced ultrasound,and there was a difference between the groups(χ^2=15.265,P<0.05).Compared with the unilateral diagnosis,the contrast sensitivity was(86.00%),specificity(70.59%)was higher than Doppler ultrasound;the total correct rate of diagnosis of lesion size by ultrasound contrast(86.00%)and the total correct rate of disease type diagnosis(86.00%)were higher than Doppler ultrasound(χ^2=15.265,16.325,P<0.05).Conclusion Contrast-enhanced ultrasonography is more valuable in hepatic space-occupying lesion biopsy,but combined diagnosis can reduce the rate of missed and missed diagnosis.
作者
林燕明
LIN Yan-ming(Department of Ultrasound and Imaging,Sanming Second Hospital,Sanming,Fujian Province,366000 China)
出处
《中外医疗》
2019年第28期180-182,共3页
China & Foreign Medical Treatment
关键词
多普勒超声
超声造影
肝脏占位性病变
穿刺活检
诊断
Doppler ultrasound
Contrast-enhanced ultrasound
Liver occupying lesions
Needle biopsy
Diagnosis
