B超在肝脏血管瘤的诊断应用分析(1)
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[摘要] 目的 探讨B超在肝脏血管瘤的诊断应用价值。方法 2008年1月～2010年12月120例肝内血管瘤患者采用GE LOGLQ7 3.5C腹部探头，探头频率为3.5mHz检查，同时应用Bright speed elite GE16层CT检查肝脏。结果 肝脏血管瘤超声的图像特征：强回声型90例(75.00%)，弱回声型17例(14.17%)、混合回声型13例(10.83%)。CT对肝脏血管瘤诊断特异性87.50%高于B超检查的66.67%(P<0.05)；CT诊断敏感性98.21%、准确率97.50%虽然也高于B超检查的96.40%、94.17%，但经统计学处理无显著性差异(P>0.05)。结论 超声检查对肝血管瘤的高准确率及敏感性使其成为检出肝血管瘤的首选方法。
[关键词] 肝脏血管瘤；腹部超声；价值
[中图分类号] R735.7 [文献标识码] B [文章编号] 1673-9701(2011)25-117-02
B Ultrasonic Diagnostic Value ofLiver Hemangioma
WANG Sufen
Department of Ultrasonography，the First People's Hospital of Taizhou in Zhejiang Province，Taizhou 318020，China
[Abstract] Objective To Explore the value of Abdominal ultrasound in diagnosis about Hepatichemangioma. Methods There were 120 patients with Hepatic hemangioma checked the livers from January 2008 to December 2010，they were tested by GE LOGLQ7 3.5C. The probe frequency of 3.5mHZ and applies the Bright speed elite GE16 CT examination. Results The feature of Hepatic hemangioma ultrasound figures：The strong echoes of 90 patients(75.00%)， and the weak echo of 17 cases(14.17%)，mixed type echo of 13 cases(10.83%)，CT of Hepatic hemangioma diagnos(87.50%) was specificity higher than Abdominal ultrasound examination of 66.67%(P<0.05)；The sensitiity of CT(98.21%) was higher than Abdominal ultrasound(96.40%)，The accuracy of CT(97.50%) was also higher than Abdominal ultrasound 94.17%，But there were no significant difference(P>0.05). Conclusion Abdominal ultrasound is the best selection method to examination Hepatic hemangioma consider the high accuracy and sensitivity.
[Key words] Hepatic hemangioma；Abdominal ultrasound；Value
肝内血管瘤是肝脏较常见的一种良性肿瘤，直径较小时缺乏临床症状难以诊断。随着B超和CT等影像学检查技术手段的广泛使用，对其诊断及与其他占位性病变的鉴别有重要的意义，B超与CT各有其特异性，超声波检查仪器较CT等检查设备常用，可反复随访检查[1]。本文回顾性分析肝脏血管瘤患者的超声诊断资料，探讨肝脏血管瘤超声的图像特征，现报道如下。
1资料与方法
1.1一般资料
2008年1月～2010年12月收集120例肝内血管瘤患者的资料，年龄17～80岁，平均(42.45±12.34)岁，男54例，女66例，患者肝功能、AFP、AKP及γ-GT等均正常，除肿瘤巨大者，一般少有临床症状。经手术或超声引导下穿刺活检病理证实16例，经临床综合诊断肝血管瘤患者104例。所有患者均在知情同意的情况下实施B超诊断和CT诊断。
1.2仪器与方法
①B超：采用GE LOGLQ7 3.5C腹部探头，探头频率为3.5mHz。患者均为上午空腹检查，使患者取平卧或左侧卧位 ......
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