中南医学科学杂志Issue(2)：198-200,211,4.DOI:10.15972/j.cnki.43-1509/r.2015.02.021
超声造影诊断壶腹部良恶性病变的临床价值
The Value of Contrast-Enhanced Ultrasound in the Diagnosis of Benign and Malignant Periampullary Diseases
童海 1周佳 2蒋迪 2李嫒 2韩东3
作者信息
- 1. 南华大学附属第一医院功能科，湖南 衡阳421001
- 2. 南华大学附属第一医院超声科
- 3. 南华大学附属第一医院普通外科
- 折叠
摘要
Abstract
Objective To evaluate the value of contrast-enhanced ultrasound in the differential diagnosis of benign and malignant periampullary diseases. Methods A total of 62 patients with periampullary diseases confirmed by operat-ing pathology and choledochoscope were reviewed,including 16 cases of periampullary carcinoma,11 cases of common bile duct carcinoma,6 cases of duodenal papilla carcinoma,5 cases of head of pancreas carcinoma,21 cases of bile duct or amp-ullary stones or biliary sludge and 3 cases of duodunum papillary inflammation. Compared conventional ultrasound and con-trast-enhanced ultrasound in the display capacity and the diagnostic accuracy of periampullary diseases,meanwhile,summa-rized the features of periampullary diseases on contrast-enhanced ultrasound. Results The detection rate of the lesions on contrast-enhanced ultrasound was 98. 4%(61/62),significantly higher than conventional ultrasound group’s 54. 8%(34/62),there was a significant difference (P<0. 001). The accuracy,sensitivity and specificity of the diagnosis of peri-ampullary diseases on conventional ultrasound and contrast-enhanced ultrasound were 50. 0%, 55. 3%, 41. 7% and 95.2%,97.4%,91. 7%,respectively. And all of them have had significant difference between the two groups (P <0. 001). Conclusion Contrast-enhanced ultrasound can improve the display capacity of periampullary diseases,which is helpful in differential diagnosis. Moreover,it is valuable for guiding clinical therapy.关键词
超声造影/壶腹部Key words
contrast-enhanced ultrasound/ampulla of vater分类
医药卫生引用本文复制引用
童海,周佳,蒋迪,李嫒,韩东..超声造影诊断壶腹部良恶性病变的临床价值[J].中南医学科学杂志,2015,(2):198-200,211,4.
