摘要
目的 比较超声造影（CEUS）和增强CT（CECT）对Budd-Chiari综合征（BCS）合并肝内良恶性结节的鉴别诊断价值.方法 对39例BCS合并肝内结节的患者分别行CEUS与CECT检查,观察结节在两种方法不同时期的灌注特征,以病理结果作为金标准,比较两种方法鉴别BCS合并再生结节与BCS合并肝细胞性肝癌（HCC）的敏感性、特异性、准确性.结果 39例患者66个病灶中,21个为BCS合并HCC,45个为BCS合并再生结节,CEUS和CECT的诊断敏感性、特异性、准确性分别为81％、91％、88％与71％、84％、80％,两种诊断方法差异无统计学意义（P＞0.05）.结论 CEUS与CECT对BCS合并肝内结节良恶性的鉴别诊断有较高的一致性,CEUS便捷、安全,可作为首选检查方法.
Objective To compare the value of contrast-enhanced ultrasound（CEUS） and contrastenhanced CT（CECT） for the differential diagnosis of the benign and malignant hepatic nodules in BuddChiari syndrome（BCS）.Methods Thirty-nine BCS patients with hepatic nodules underwent CEUS and CECT examination separately,through which the perfusion characters of the nodules in different phases were observed.With the pathological result as the golden standard,the sensitivity,specificity and accuracy of CEUS and CECT were compared on diagnosing benign regenerative nodules and hepatocellular carcinoma （HCC） in BCS.Results Of the 66 hepatic lesions in 39 patients,21 were hepatocellular carcinoma（HCC）,and the other 45 were regenerative nodules.The sensitivity,specificity and accuracy of CEUS and CECT were 81％,91％,88％ and 71％,84％,80％ respectively.Thus the diagnostic efficiency difference between CEUS and CECT had no statistic significance（P ＞0.05）.Conclusions The differential diagnoses of the benign and malignant hepatic nodules in BCS on CEUS and CECT have high consistency.Due to the convenience and safety of CEUS,it can be used as first-line method.
出处
《中华超声影像学杂志》
CSCD
北大核心
2014年第12期1045-1049,共5页
Chinese Journal of Ultrasonography
