| 摘要: |
| 目的 探讨超声实时组织弹性成像技术在肝泡型包虫病诊断中的应用价值。方法 对95例肝脏实性占位的患者分别进行常规超声和弹性成像检查,分别记录病灶的大小及弹性评分。弹性评分采用5级评分法,最后与手术或病理结果相对照。结果 同一切面下,原发性肝癌和肝泡型包虫病组中,弹性成像状态下的面积、周长和体积均显著大于常规超声状态下的面积和周长(t= -3.164、-2.292、-2.359；-4.388、-2.442、-4.559；P= 0.005、0.033、0.029；0.000、0.018、0.000)。原发性肝癌的弹性评分显著大于肝泡型包虫病灶的弹性评分(t= 2.640；P= 0.013),肝泡型包虫病灶的弹性评分显著大于肝血管瘤的弹性评分(t= 9.136；P< 0.001)。结论 弹性成像能够很好的区分原发性肝癌、肝泡型包虫病和肝血管瘤的硬度,对肝泡型包虫病的诊断能够起到有效的辅助作用。 |
| 关键词: 肝泡型包虫 弹性成像 超声检查 |
| DOI： |
| 投稿时间：2016-06-27修订日期：2016-12-20 |
| 基金项目:包虫病综合防控技术研究与示范 |
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| The application of Elastography in the diagnosis and differential diagnosis of hepatic alveolar echinococcosis |
| LI She,ZHENG Yunhui |
| (Department of Ultrasound,The affiliated hospital of Qinghai university,810001) |
| Abstract: |
| AbBSTRACT objective To explore the application value of real-time tissue elastography in the diagnosis of hepatic alveolar echinococcosis. Methods 95 liver lesions in 95 cases were scaned with conventional ultrasonography and elastography, record the size of the lesions and assessed with grade scores respectively. Results on ultrasound were compared with those on operation or pathology. Results Under the same cross section, in the elastography, the lesions area, perimeter and volume were significantly greater than the measurement of the lesions in conventional ultrasonic（t= -3.164、-2.292、-2.359；-4.388、-2.442、-4.559；P= 0.005、0.033、0.029；0.000、0.018、0.000）. There was statistical significance between primary hepatic carcinoma and hepatic alveolar echinococcosis on the distribution of elasticity grade(t= 2.640；P= 0.013), The elasticity grade of hepatic alveolar echinococcosis was significantly greater than it of the liver hemangioma(t= 9.136; P< 0.001). Conclusion Elastography can well distinguish the hardness of primary hepatic carcinoma, hepatic alveolar echinococcosis and the liver hemangioma, play an effective auxiliary function in the diagnosis of hepatic alveolar echinococcosis. |
| Key words: Hepatic alveolar echinococcosis Elastography Ultrasonography |
