实用肿瘤学杂志 ›› 2012, Vol. 26 ›› Issue (6): 569-572.doi: 10.3969/j.issn.1002-3070.2012.06.021

• 综述 • 上一篇    下一篇

超声造影与增强CT对肝脏占位性病变的研究进展

杨先1, 程文2   

  1. 1.哈尔滨医科大学附属第四医院心内科超声室(哈尔滨 150001);
    2.哈尔滨医科大学附属第三医院超声科
  • 收稿日期:2012-04-16 出版日期:2012-12-28 发布日期:2014-12-03
  • 通讯作者: 程文,E-mail:chengwen69@yahoo.com
  • 作者简介:杨先,女,(1980-),硕士研究生,从事腹部、心脏超声诊断及超声造影研究

Progress in research of contrast-enhanced ultrasound and contrast-enhanced CT for hepatic lesions

YANG Xian1,CHENG Wen2   

  1. 1.Ultrasound Examination Room,Department of Cardiology,The Fourth Affiliated Hospital of Harbin Medical University,Harbin 150001,China;
    2.Department of Ultrasound,The Third Affiliated Hospital of Harbin Medical University
  • Received:2012-04-16 Online:2012-12-28 Published:2014-12-03

摘要: 本文就超声造影(contrast-enhanced ultrasound,CEUS)与增强CT(contrast-enhanced computer tomography,CECT)在肝脏占位性病变研究方面的进展进行综述。CEUS与CECT对肝脏病变的诊断原理类似,在肝脏占位性病变的诊断均具有较高的敏感性和特异性。CECT对肝内病灶的显示不受位置限制,不受气体影响,可同时显示整个肝脏的造影变化,较为客观、全面。CEUS在肝癌病灶动脉期血供显示上具有较高的检出率,对CT等密度病灶或低血供病灶具有重要的诊断意义。建议在肝脏占位性病变的诊断上,应结合CEUS与增强CT的优缺点,合理选择,必要时联合应用以提高诊断的准确性。

Abstract: We reviewed the progress of the contrast-enhanced ultrasound(CEUS)and contrast-enhanced computer tomography(CECT)in the diagnosis of hepatic lesions.The diagnositic principle of CEUS and CECT is similar.Both two examinations have high sensitivity and specificity in the diagnosis of hepatic lesions.CECT displayed hepatic lesions without location restrictions and gas impact.It can show the contrast change of the whole liver.CEUS displayed a high detection rate of blood supply for hepatic tumors in the arterial phase,which has important diagnostic significance for density lesions or low blood lesions on CECT.It was recommended that the diagnosis of hepatic lesions should be combined with the advantages and disadvantages of CEUS and CECT.If necessary,the two examinations could be performed in combination with the improvement of diagnostic accuracy in hepatic lesions.

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