摘要
摘要目的比较分析超声造影与增强CT/MRI在诊断直径≤3cm肝脏占位病变中的价值。方法≤3cm的肝脏占位病灶40例患者分别进行超声造影、增强CT/MRI检查,比较超声造影与增强CT/MRI诊断≤3cm肝占位病变的准确性及两者之间的相关性。结果超声造影与增强CT/MRI诊断≤3cm的肝脏占位病灶的准确性分别为90.0%及82.5%,二者比较差异无统计学意义;但二者之间有较好的相关性(k=0.69)。对于病史不明确的单个占位病灶,超声造影可通过对增强时相的比较分析,鉴别其性质。结论超声造影及增强CT/MRI对≤3cm肝脏占位病变的诊断均有较好的临床实用价值。
Objective To evaluate the value of contrast - enhanced ultrasound (CEUS) and CT/MRI in diagnosis of ≤3cm focal liver lesions. Methods Forty patientes with ≤3 cm focal liver lesions were examined by CEUS and CT/MRI respectively. Then their accuracy and correlation were compared. Results The accuracy of CEUS and CT/MRI was 90.0% , 82.5% , respectively. There was no significant difference between CEUS and CT/MRI, while there was good correlation between the two methods ( k = 0.69 ). In addition, the primary hepatic carcinoma and metastatic hepatic carcinoma can be differential diagnosed by CEUS, and analyzed by contrast - enhanced phase, the results was coincident to contrast - enhanced CT / MRI. Conclusion CEUS and CT / MRI has good clinical application value in diagnosis of ≤ 3 cm focal liver lesions.
出处
《临床超声医学杂志》
2009年第8期511-514,共4页
Journal of Clinical Ultrasound in Medicine