邓 晶,胡建群,林红军,叶新华,王剑翔,马文婷.肝脏局灶性结节增生的超声造影诊断[J].南京医科大学学报,2008,28(5):681~684 |
肝脏局灶性结节增生的超声造影诊断 |
Diagnosis of hepatic focal nodular hyperplasia with contrast-enhanced ultrasound |
投稿时间:2008-02-01 |
DOI:10.7655 |
中文关键词: 局灶性结节增生 肝脏 超声造影 |
英文关键词: focal nodular hyperplasia liver contrast-enhanced ultrasonography |
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中文摘要: |
目的:探讨肝脏局灶性结节增生(FNH)在超声造影中的特征性表现及与病灶大小的关系?方法:经病理学检查证实的FNH 26例,采用美国GE公司LOGIQ9及意大利百胜公司DU8彩色多普勒系统,使用意大利Bracco公司造影剂Sonovue进行超声造影成像,造影时记录肝实质及病灶的充填过程?充盈方式及增强程度?结果:在直径大于3.0 cm的15例病灶中,14例(93.3%)在动脉相出现“轮辐状”增强征象?13例(86.6%)在延迟相病灶中央或偏心出现瘢痕的征象?结论:对于大于3.0 cm的病灶可以根据超声造影中特有的辐轮征和中央瘢痕来作为FNH的诊断依据? |
英文摘要: |
Objective:To evaluate the relationship between the presentation of typical symptoms of focal nodular hyperplasia(FNH) by means of dynamic contrast-enhanced ultrasonography(CEUS) and the lesion size. Methods:26 cases with pathologically proven FNH were examined by GE-LOGIQ9 and Technos MPX DU8 color Doppler ultrasound system with contrast-enhanced ultrasonography software and Sonovue Meanwhile,the engorged process and type,the enhanced extent of the hepaticparenchyma and lesion focus were recorded. Results:In lesions with diameter≥3 cm(n = 15), the spoke-wheel pattern of vessels enhancing early in arterial phase was seen in 14 cases(93.3%). The Central scar was observed in 13(86.6%) cases in late phase. Conclusion:The contrast-enhanced ultrasonography might be an important diagnostic method for FNH with diameter ≥3 cm, which has the typical spoke-wheel pattern and central scar symptoms in CEUS. |
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