摘要
目的:分析肝脏局灶性炎性病变的常规超声及超声造影特点,探讨其对肝脏局灶性炎性病变的诊断价值。方法:回顾性分析经病理或临床综合诊断的36例肝脏局灶性炎性病变患者的常规超声及超声造影表现,常规超声观察病灶位置、大小、边界、形态及内部回声;超声造影观察病灶增强特征,增强强度及随时相变化等特点。结果:①肝脏局灶性炎性病变常规超声表现以边界不清,形态不规则,无明显占位效应为主,在21例肝脓肿患者中有18例(占85.71%),5例肝结核患者中有2例(占40%),1例肝寄生虫患者(占100%),9例其他肝脏局灶性炎性病变患者中有7例(占77.78%)表现为边界不清,形态不规则,无占位效应;②不同肝脏局灶性炎性病变的超声造影表现的肝脓肿病变主要为“蜂窝样”增强及“环状”增强,占90.47%(19/21),肝结核病变主要为环状增强及无增强,占80%(4/5),肝寄生虫病变表现为“隧道样”增强,其他肝脏局灶性炎性病变可见周边一过性异常增强区,占77.78%(7/9)。结论:肝脏局灶性炎性病变常规超声以边界不清、形态不规则以及无明显占位效应为主;超声造影呈多样性表现,但也有其特征性表现,故结合临床及病理改变可提高其诊断的准确性。
Objective:To analyze the manifestations of conventional ultrasound and contrast-enhanced ultrasound imaging of focal inflammatory lesions of liver so as to explore the diagnostic value of them for focal inflammatory lesions of liver.Methods:The manifestations of conventional ultrasound and contrast-enhanced ultrasound imaging of 36 patients with focal inflammatory lesions of liver who were confirmed by pathological or clinically comprehensive diagnosis were retrospectively analyzed.The location,size,boundary,morphology,internal echo of lesions were observed by conventional ultrasound,and enhancement characteristics,enhanced intensity and changing with time-phase of lesions were observed by contrast-enhanced ultrasound.Results:①The main manifestations of conventional ultrasound of focal inflammatory lesions of liver included unclear borders,irregular morphology,and no significant space-occupying effects.In 21 patients with liver abscess,18 cases had these manifestations(85.71%).In 5 patients with tuberculosis of liver,2 cases had these manifestations(40%).1 patients with parasite in liver had these manifestations(100%).And in 9 patients with other focal inflammatory lesion of liver,7 cases had these manifestations(77.78%).②The manifestations of contrast-enhanced ultrasound imaging of different focal inflammatory lesions of liver showed diversity.Liver abscess lesions showed mainly"cell-like"enhancement and"ring-like"enhancement(90.47%,19/21),and hepatic tuberculosis lesions showed mainly"ring-like"enhancement and non-enhancement(80%,4/5),and the hepatic parasites lesion showed"tunnel-like"enhancement,and other focal inflammatory lesions of liver showed transient abnormal enhancement zone at the periphery(77.78%,7/9).Conclusion:The manifestations of conventional ultrasound of focal inflammatory lesions of liver show mainly unclear borders,irregular shape and no significant space-occupying effect.The contrast-enhanced ultrasound imaging of different focal inflammatory lesions of liver shows diversity,but it also has its characteristic features.Therefore,contrast-enhanced ultrasound imaging combines with clinical and pathological changes can improve the accuracy of diagnosis.
作者
马霞
胡向东
谭小蕖
王艳红
史宪全
刘金苹
邱兰燕
张宏
柳曦
钱林学
MA Xia;HU Xiang-dong;TAN Xiao-qu(Beijing Friendship Hospital,Capital Medical University,Beijing 100050,China)
出处
《中国医学装备》
2019年第10期74-77,共4页
China Medical Equipment
基金
北京市医管局215学科骨干资助项目(2104-3-009)“超声造影及弹性超声在肝脏疾病中的应用”
关键词
常规超声
超声造影
炎性病变
肝脏
Conventional ultrasound
Contrast-enhanced ultrasound
Inflammatory lesions
Liver
作者简介
马霞,女,(1984-),博士,医师,从事超声诊断及临床治疗工作;通信作者:钱林学,qianlinxue2002@163.com。
