| 摘要: |
| 目的 探索包膜型肝结核性的超声造影表现并将其与增强CT及病理比较。
方法 收集2015年1月~2017年12月在我院病理确诊为肝结核且病灶位于肝包膜处的病例，同期有超声造影和增强CT结果，共20例25个病灶，超声造影观察病灶区肝包膜的连续性、病灶的增强模式、病灶周围肝实质的有无增强等，并与增强CT及病理比较。
结果 根据病灶的超声造影增强模式分为实性均匀增强1个、薄壁腔型增强5个、厚壁腔型增强8个及虫蚀腔型增强11个，超声造影显示实性和薄壁腔型病灶的肝包膜完整性比例显著高于其他两类病灶（P＜0.05）；而虫蚀腔型病灶的周围肝实质增强比例明显高于其余三类（P＜0.05）；不同增强模式的病灶腔壁病理成分组成明显不同。超声造影在包膜连续性、病灶周围肝实质增强阳性率等方面与增强CT有很好的一致性。
结论 包膜型肝结核多伴有坏死区，超声造影可以很好地显示坏死腔的范围、形态，可用于评估包膜型肝结核的病程状态，可为临床诊治提供重要的影像学信息。 |
| 关键词: |
| DOI： |
| 投稿时间：2020-02-08修订日期：2020-03-01 |
| 基金项目: |
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| A comparison between contrast enhanced ultrasound with contrast enhanced CT and pathology Abstract in hepatic capsular tuberculosis |
| wang da li |
| () |
| Abstract: |
| Objective To explore the contrast-enhanced ultrasound (CEUS) manifestations of hepatic capsular tuberculosis lesions and compare it with contrast-enhanced computer tomography (CT) and pathology.
Methods 25 hepatic capsular tuberculosis were retrospectively analyzed, all have been done CEUS and enhancement CT. The CEUS manifestations of the hepatic capsular continuity, the presence and shape of the necrosis area, the enhancement of liver parenchyma around the lesion were observed and compared with enhanced CT and pathology.
Results The lesions were divided into 4 groups including group 1 with one solid lesion, group 2 with 5 thin wall cavitary lesions, group 3 with 8 thick wall cavitary lesions and group 4 with 11 worm eroded cavitary lesions. The proportion of capsular continuity in group 1 and 2 was significantly higher than group 3 and 4 (P < 0.05); the percentage of the enhancement of liver parenchyma around the lesion in group 4 was significantly higher than that in the other groups (P < 0.05). The walls of the three types of cavitary lesions had different pathological composition. The CEUS manifestations of the hepatic capsular continuity, the enhancement of liver parenchyma around the lesion were consistent with enhanced CT.
Conclusion Hepatic capsular tuberculosis lesions always accompanied with necrosis, CEUS is a promising method to evaluate the progress of Hepatic capsular tuberculosis lesions and provide important imaging information for clinical diagnosis and treatment. |
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