三维超声联合超声造影在胆囊隆起性病变诊断中的应用价值

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英文篇名：The Application Value Study of Three-dimensional Ultrasonography Combined with Contrast-enhanced Ultrasonography in Gallbladder Projective Lesions 作者：脱小飞 ; 王光霞 英文作者：Tuo Xiaofei;Wang Guangxia;Department of Ultrasound,Nankai Hospital of Integrated Traditional Chinese and Western Medicine; 关键词：三维超声 ; 超声造影 ; 胆囊隆起性病变 英文关键词：Three-dimensional ultrasonography;;Contrast-enhanced ultrasonography;;Gallbladder projective lesions 中文刊名：ZGCY 英文刊名：Chinese Journal of Ultrasound in Medicine 机构：天津中西医结合南开医院超声科; 出版日期：2019-02-16 出版单位：中国超声医学杂志 年：2019 期：v.35;No.340 语种：中文; 页：ZGCY201902018 页数：4 CN：02 ISSN：11-2110/R 分类号：59-62

摘要

目的探讨三维超声联合超声造影在胆囊隆起性病变诊断中的临床应用价值。方法对86例经手术病理证实的胆囊隆起性病变患者的三维超声及超声造影图像进行回顾性分析。结果对胆囊隆起性病变的诊断三维超声联合超声造影检查诊断符合率高于二维超声,差异有统计学意义(符合率分别为96.5%、88.4%,χ~2=4.000,P<0.05),在超声征象病灶数目、部位、基底、囊壁完整性方面比较,三维超声联合超声造影检查优于二维超声,差异均有统计学意义(χ~2=4.000、4.900、5.063、4.083,P均<0.05)。胆囊隆起性病变在增强程度、动脉期血管分型、囊壁完整性方面比较,差异有统计学意义(χ~2=11.128、17.511、9.143,P均<0.01)。结论对胆囊隆起性病变诊断,在病灶数目、部位、基底、囊壁完整性超声征象中,三维超声联合超声造影检查优于常规二维超声,在增强程度、增强模式、动脉期血管分型等造影征象中超声造影有独特优势,可对胆囊隆起性病变良恶性鉴别诊断提供重要参考依据。
        Objective To explore the value of three-dimensional ultrasonography(3 D-US)combined with contrast-enhanced ultrasonography(CEUS)in gallbladder projective lesions.Methods Eight-six patients diagnosed as gallbladder projective lesions with pathology were analyzed retrospectively.All patients underwent three-dimensional ultrasonography(3 D-US)and contrast-enhanced ultrasonography(CEUS)before operation.Results The diagnosis coincidence rate of 3 D-US and CEUS is higher than that of gray-scale US in gallbladder projective lesions,the difference was statistically significant(96.5%,88.4%,χ~2=4.000,P<0.05).The number,position,base and gallbladder wall continuity of gallbladder projective lesions were significantly different between 3 D-US compared with CEUS and grayscale US.3 D-US and CEUS is better than gray-scale US(χ~2=4.000,4.900,5.063,4.083,P<0.05).The degree of enhancement,vascular structures on CEUS and gallbladder wall continuity were significantly different in gallbladder projective lesions(χ~2=11.128,17.511,9.143,P<0.01).Conclusions Diagnosis of gallbladder projective lesions in the number,position,base and gallbladder wall continuity,3 D-US and CEUS is superior to gray-scale US.CEUS is better than gray-scale US in the degree of enhancement,vascular structures,gallbladder wall continuity.3 D-US and CEUS provide important reference basis for the differential diagnosis of gallbladder projective lesions.

引文

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