首页> 中文期刊> 《临床和实验医学杂志》 >上腹部 CT 多期扫描与超声造影检查对肝血管瘤患者的诊断价值分析

上腹部 CT 多期扫描与超声造影检查对肝血管瘤患者的诊断价值分析

         

摘要

Objective Liver hemangioma patients were examined with CT scan and contrast - enhanced ultrasound diagnosis examination. Methods Retrospective analysis was performed in the clinical data of 48 cases of hepatic hemangioma patients from 2011 March to 2013 July. A merger under inspection factors such as fatty liver by two methods was performed to compare efficiency on different sizes of hepatic hemangioma. Results CT scanning in 42 cases,the detection rate was 87. 50% . The ultrasonography detected 43 cases,the detection rate was 89. 58% . The positive rate of the two methods was not significantly different( P > 0. 05). The study demonstrated that liver hemangioma was significantly higher than that of ≤3 cm hepatic vascular CT > 3 cm( P 0. 05). Hemangioma of liver ultrasound contrast different performance enhancements for the whole signal changes were not signif-icant( P > 0. 05);but patchy enhanced signal in > 3 cm hepatic hemangioma is significantly higher than that of 3cm group( P 0. 05). The fatty liver detection rate in liver hemangioma of ultrasonography was 58. 33% ,which was lower than that of 100% hepatic hemangioma patients not as-sociated with fatty liver( P 0.05)。CT 检查>3 cm 的肝血管里发现率显著高于≤3 cm 的肝血管瘤( P 0.05)。对不同大小的肝血管瘤超声造影表现为整体信号的增强变化均不显著( P >0.05);但是>3 cm 肝血管瘤的斑片状增强型信号显著高于≤3 cm 肝血管瘤组( P 0.05);超声造影检查,合并脂肪肝的肝血管瘤患者检出率为58.33%显著低于不合并脂肪肝的肝血管瘤患者的100%( P <0.05)。结论对于合并脂肪肝的肝血管瘤患者 CT 检出更具优势,超声造影检出结果受肝血管瘤大小的影响较小,两种方法可以结合应用。

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