| 超声造影在肝外胆管占位性病变中的应用 |
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| 引用本文： | 丛悦,吴薇,严昆,尹珊珊,戴莹,张仲一,付颖,陈敏华.超声造影在肝外胆管占位性病变中的应用[J].中国医学影像技术,2014,30(11):1665-1668. |
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| 作者姓名： | 丛悦 吴薇 严昆 尹珊珊 戴莹 张仲一 付颖 陈敏华 |
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| 作者单位： | 北京大学临床肿瘤学院 北京大学肿瘤医院暨北京市肿瘤防治研究所超声科, 恶性肿瘤发病机制及转化研究教育部重点实验室, 北京 100142;北京大学临床肿瘤学院 北京大学肿瘤医院暨北京市肿瘤防治研究所超声科, 恶性肿瘤发病机制及转化研究教育部重点实验室, 北京 100142;北京大学临床肿瘤学院 北京大学肿瘤医院暨北京市肿瘤防治研究所超声科, 恶性肿瘤发病机制及转化研究教育部重点实验室, 北京 100142;北京大学临床肿瘤学院 北京大学肿瘤医院暨北京市肿瘤防治研究所超声科, 恶性肿瘤发病机制及转化研究教育部重点实验室, 北京 100142;北京大学临床肿瘤学院 北京大学肿瘤医院暨北京市肿瘤防治研究所超声科, 恶性肿瘤发病机制及转化研究教育部重点实验室, 北京 100142;北京大学临床肿瘤学院 北京大学肿瘤医院暨北京市肿瘤防治研究所超声科, 恶性肿瘤发病机制及转化研究教育部重点实验室, 北京 100142;北京大学临床肿瘤学院 北京大学肿瘤医院暨北京市肿瘤防治研究所超声科, 恶性肿瘤发病机制及转化研究教育部重点实验室, 北京 100142;北京大学临床肿瘤学院 北京大学肿瘤医院暨北京市肿瘤防治研究所超声科, 恶性肿瘤发病机制及转化研究教育部重点实验室, 北京 100142 |
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| 基金项目： | 首都卫生发展科研专项项目(首发2011-2015-04)。 |
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| 摘 要： | 目的 探讨应用CEUS诊断肝外胆管占位性病变的价值。方法 回顾性分析45例因肝外胆管占位性病变就诊于我院的患者, 将二维超声(US)、CEUS及增强CT影像学诊断结果与患者病理诊断进行对比, 分析每种影像学方法的诊断效能。结果 45例病例中良性病变6例, 恶性病变39例。US、CEUS及增强CT对肝外胆管良恶性病变的诊断准确率分别为71.11%(32/45)、88.89%(40/45)及91.11%(41/45), US与CEUS间(P=0.035)、US与增强CT间(P=0.015)差异具有统计学意义, CEUS与增强CT间(P=1.000)差异无统计学意义。结论 CEUS对肝外胆管占位性病变的诊断准确率高于US, 与增强CT相近, 对肝外胆管占位性病变的临床诊断具有重要价值。
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| 关 键 词： | 超声检查 造影剂 肝外胆管占位性病变 |
| 收稿时间： | 7/1/2014 12:00:00 AM |
| 修稿时间： | 2014/9/17 0:00:00 |
Application of contrast-enhanced ultrasound in extrahepatic biliary ducts lesions |
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| CONG Yue,WU Wei,YAN Kun,YIN Shan-shan,DAI Ying,ZHANG Zhong-yi,FU Ying and CHEN Min-hua.Application of contrast-enhanced ultrasound in extrahepatic biliary ducts lesions[J].Chinese Journal of Medical Imaging Technology,2014,30(11):1665-1668. |
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| Authors: | CONG Yue WU Wei YAN Kun YIN Shan-shan DAI Ying ZHANG Zhong-yi FU Ying and CHEN Min-hua |
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| Affiliation: | Key Laboratory of Carcinogenesis and Translational Research, Department of Ultrasonography, Peking University School of Oncology, Beijing Cancer Hospital & Institute, Beijing 100142, China;Key Laboratory of Carcinogenesis and Translational Research, Department of Ultrasonography, Peking University School of Oncology, Beijing Cancer Hospital & Institute, Beijing 100142, China;Key Laboratory of Carcinogenesis and Translational Research, Department of Ultrasonography, Peking University School of Oncology, Beijing Cancer Hospital & Institute, Beijing 100142, China;Key Laboratory of Carcinogenesis and Translational Research, Department of Ultrasonography, Peking University School of Oncology, Beijing Cancer Hospital & Institute, Beijing 100142, China;Key Laboratory of Carcinogenesis and Translational Research, Department of Ultrasonography, Peking University School of Oncology, Beijing Cancer Hospital & Institute, Beijing 100142, China;Key Laboratory of Carcinogenesis and Translational Research, Department of Ultrasonography, Peking University School of Oncology, Beijing Cancer Hospital & Institute, Beijing 100142, China;Key Laboratory of Carcinogenesis and Translational Research, Department of Ultrasonography, Peking University School of Oncology, Beijing Cancer Hospital & Institute, Beijing 100142, China;Key Laboratory of Carcinogenesis and Translational Research, Department of Ultrasonography, Peking University School of Oncology, Beijing Cancer Hospital & Institute, Beijing 100142, China |
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| Abstract: | Objective To investigate the application value of CEUS in diagnosis of extrahepatic biliary ducts lesions. Methods Totally 45 patients with extrahepatic biliary ducts lesions were retrospectively analyzed. All 45 patients underwent ultrasound (US), CEUS and contrast-enhanced CT (CECT) before treatment. The diagnostic efficacy of imaging methods were calculated and compared. Results Benign lesions were 6 cases and malignant were 39 cases. The diagnostic accuracy of US, CEUS and CECT were 71.11% (32/45), 88.89% (40/45) and 91.11% (41/45), respectively. There was significant difference between diagnostic accuracy of US and CEUS (P=0.035) and US and CECT (P=0.015). There was no difference between diagnostic accuracy of CEUS and CECT (P=1.000). Conclusion The diagnostic accuracy of CEUS for extrahepatic biliary ducts lesions is higher than US and similar to CECT. CEUS has a good value in clinical use. |
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| Keywords: | Ultrasonography Contrast media Extrahepatic biliary ducts lesions |
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