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对比增强超声、增强 CT 和 MRI 诊断肝病变的临床价值比较。

Comparative the clinical value of contrast-enhanced ultrasonography, enhancement CT and MRI for diagnosing of liver lesions.

机构信息

Department of Pediatric Surgery, The Third Affiliated Hospital of Guangzhou Medical University, Guangzhou, Guangdong, China.

Department of Ultrasound Medicine, The Third Affiliated Hospital of Guangzhou Medical University, Guangzhou, Guangdong, China.

出版信息

Clin Hemorheol Microcirc. 2022;80(3):241-251. doi: 10.3233/CH-211142.

Abstract

BACKGROUND

To investigate the accuracy of contrast-enhanced ultrasonography, CT-enhancement and MRI in the diagnosis of liver-occupying lesions.

METHODS

176 patients with suspected liver lesions in our hospital were retrospectively studied from July 2014 to July 2016. All of the 176 patients were diagnosed by contrast-enhanced ultrasonography, enhanced CT and MRI, and the pathological examination was performed. The results of pathological examination were regarded as the results of the diagnosis. The diagnostic accuracywas then compared among contrast-enhanced ultrasound, enhanced CT and MRI of these patients.

RESULTS

The results of contrast-enhanced ultrasonography showed that 164 of the 176 patients had liver-occupying lesions, and the accuracy of the diagnosis was 95.35%, which was significantly higher than that of CT enhancement and MRI (80.23% 84.30%). The accuracy of contrast-enhanced ultrasonography, in the diagnosis of primary liver cancer was significantly higher than that of CT enhancement and MRI (P < 0.05), and the difference was significant difference (P < 0.05).

CONCLUSIONS

The examination of contrast-enhanced ultrasonography is relatively simple, and the patients can get duplicateexamination, so we should choose the contrast-enhanced ultrasonography as the preferred method of diagnosis in liver mass, especially primary liver cancer.

摘要

背景

为了研究对比增强超声、CT 增强和 MRI 在肝脏占位性病变诊断中的准确性。

方法

回顾性研究 2014 年 7 月至 2016 年 7 月我院 176 例疑似肝脏病变患者,所有患者均经对比增强超声、增强 CT 和 MRI 诊断,并进行病理检查。将病理检查结果作为诊断结果,比较这些患者的对比增强超声、增强 CT 和 MRI 的诊断准确性。

结果

增强超声检查结果显示,176 例患者中 164 例有肝脏占位性病变,诊断准确率为 95.35%,明显高于 CT 增强和 MRI(80.23%和 84.30%)。增强超声检查在原发性肝癌诊断中的准确率明显高于 CT 增强和 MRI(P<0.05),差异有统计学意义(P<0.05)。

结论

增强超声检查相对简单,患者可以重复检查,因此我们应该选择增强超声作为肝脏肿块的首选诊断方法,特别是原发性肝癌。

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