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超声造影与增强CT在胆囊疾病诊断中的对比分析 预览 被引量:21

Comparison of contrast-enhanced ultrasound and contrast-enhanced helical CT of gallbladder diseases
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摘要 目的:比较超声造影(contrast-enhanced ultrasound,CEUS)和CT增强(contrast-enhanced helicalcomputedtomography,CECT)检查在胆囊占位性病变诊断中血流灌注过程中的的特点,探讨其在胆囊占位性病变诊断中的价值。方法:对比分析78例胆囊占位性病变的超声造影和增强CT在不同时相的增强及灌注特征。结果:超声造影和增强CT具有相似的表现。但对于小于5 mm的病变,超声造影的检出率高于增强CT,78例胆囊占位性病变中,胆囊癌35例,胆囊息肉29例,局限性胆囊腺肌增生症14例,增强CT准确率分别为84.35%,89.63%和80.13%,超声造影准确率分别为83.12%,93.79%和79.72%。结论:增强CT和超声造影检查均有助于胆囊疾病诊断,两者结合可提高胆囊疾病的诊断符合率。 Objective:To compare the perfusion feature of gallbladder diseases with of contrast-enhanced ultrasound(CEUS) and contrast-enhanced helical computed tomography(CECT) and evaluate the value diagnosis of them.Methods:CEUS and contrast-enhanced helical CT findings were comparatively analyzed in 78 cases with gallblandder diseases verified by operation and pathology.Results:Ultrasonography and enhanced CT has a similar performance.But for less than 5 mm lesion,the detection rate of ultrasound higher than contrast enhancement CT,78 cases of gallbladder mass lesions,gallbladder cancer 35 cases,29 cases of gallbladder polyps,gallbladder adenomyomatosis 14 cases,ultrasound accuracy was 83.12%,93.79% and 79.72%,respectively,enhance the accuracy of CT 84.35%,89.63% and 8.13%.Conclusion:Ultrasonography and CT examination will help enhance the diagnosis of gallbladder disease,combining the two can improve the diagnosis.
作者 朱铖 周海伟 王红梅 郑笑娟 王昊 ZHU Cheng1,ZHOU Hai-wei2,WANG Hong-mei3,ZHENG Xiao-juan1;WANG Hao1 1.Department of Diagnosis Ultrasonography,Zhoushan People's Hospital,Zhoushan 316000,P.R.China 2.Department of Diagnosis Radiation,Zhoushan People's Hospital,Zhoushan 316000,P.R.China 3.Department of Diagnosis Ultrasonography,Xiamen No 2 Hospital,Xiamen 360000,P.R.China
出处 《医学影像学杂志》 2011年第1期 65-68,共4页 Journal of Medical Imaging
关键词 胆囊疾病 胆囊肿瘤 超声造影 体层摄影术 X线计算机 Gallbladder diseases Contrast-enhanced ultrasonography Tomography X-ray computed
作者简介 朱铖(1979-),女,浙江省舟山市人,毕业于吉林大学医学影像系,学士学位,温州医学院研究生在谈,主治医师,主要从事超声诊断工作
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