摘要
目的 观察西藏地区肝包虫病的超声与CT的影像学特征,并分析二者结合应用在诊断疾病中的价值。方法 纳入2021年3月至2023年3月本院收治的肝包虫病患者72例,通过实施超声和CT检测,观察肝包虫病的超声与CT的影像学特征,分析二者结合应用在诊断疾病中的价值。结果 肝包虫病的超声特征中囊型主要表现双回声线、厚壁囊肿、可伴囊壁钙化等特征,泡型则主要表现为回声杂乱、内部钙化和周围浸润等特征。肝包虫病的CT特征中囊型表现为肝实质内显示存在类圆形、圆形或分叶状占位阴影,囊壁钙化等特征,泡型呈弥漫性分布,边界不清晰,形成不规则的混合密度区域,内部可见清晰的颗粒状,病灶周围伴小泡征。CT诊断肝包虫病的诊断符合率明显高于超声诊断的符合率(P<0.05)。超声与CT联合诊断肝包虫病的阳性预测值、阴性预测值、灵敏度、特异度、诊断准确率和Kappa值分别为0.952、0.800、0.967、0.727、0.931、0.721,显示一致性较好。结论 利用超声、CT影像学特征分析西藏地区肝包虫病患者一致性较好,二者结合应用有助于提升临床的诊断效能。
Objective To observe the imaging characteristics of ultrasound and CT in hepatic hydatidosis in Xizang,and analyze the value of the combination of the two in the diagnosis of disease.Methods 72 patients with liver hydatid disease admitted to our hospital from March 2021 to March 2023 were included.Through the implementation of ultrasound and CT detection,the imaging characteristics of liver hydatid disease were observed,and the value of combining the two in diagnosing the disease was analyzed.Results In the ultrasound features of liver hydatid disease,the cystic type mainly presents with double echo lines,thick walled cysts,and may be accompanied by cystic wall calcification,while the vesicular type mainly presents with features such as scattered echoes,internal calcification,and peripheral infiltration.In the CT features of liver hydatid disease,the cystic type is characterized by the presence of circular,circular,or lobulated masses in the liver parenchyma,calcification of the cyst wall,and other features.The cystic type is diffusely distributed with unclear boundaries,forming irregular mixed density areas.Clear granular shapes can be seen inside,and small vesicular signs are present around the lesion.The diagnostic accuracy of CT for liver hydatid disease was significantly higher than that of ultrasound diagnosis(P<0.05).The positive predictive value,negative predictive value,sensitivity,specificity,diagnostic accuracy,and Kappa values of ultrasound and CT combined diagnosis of liver hydatid disease were 0.952,0.800,0.967,0.727,0.931,and 0.721,respectively,indicating good consistency.Conclusion There is a good consistency in the analysis of hepatic hydatidosis patients in Xizang by using ultrasonic and CT imaging characteristics.The combination of the two will help to improve the clinical diagnostic efficacy.
作者
段绪光
赵金辉
格桑卓玛
晋美旺久
彭飞
DUAN Xu-guang;ZHAO Jin-hui;Gesang Zhuoma;Jinmei Wangjiu;PENG Fei(Department of Radiology,Nyingchi City People's Hospital of Xizang,Nyingchi 860000,Xizang Autonomous Region,China)
出处
《中国CT和MRI杂志》
2025年第7期107-109,共3页
Chinese Journal of CT and MRI
关键词
肝包虫病
超声
计算机体层成像
诊断价值
Liver Hydatid Disease
Ultrasound
Computer Tomography
Diagnostic Value
