CAJ | 학술논문

目的探讨超声造影对肾上腺转移癌的诊断价值.方法应用超声造影对肾上腺转移癌进行检查,分析18例患者共24个肾上腺转移癌灶的超声造影特点.比较二维超声和超声造影对肾上腺转移癌灶的检出率.结果二维超声检查共发现14个肾上腺转移病灶,检出率为58.3%,而超声造影检查发现20个,检出率为83.3%,两者差异有统计学意义(P<0.05).肾上腺转移灶超声造影表现为造影剂充填较快,达峰强度稍低于周围肝肾实质或相当,并能清楚显示肾上腺病变的数目、大小和范围.结论与二维超声相比,超声造影能显著提高肾上腺转移灶的检出率.
목적 탐토초성조영대신상선전이암적진단개치.방법 응용초성조영대신상선전이암진행검사,분석18례환자공24개신상선전이암조적초성조영특점.비교이유초성화초성조영대신상선전이암조적검출솔.결과 이유초성검사공발현14개신상선전이병조,검출솔위58.3%,이초성조영검사발현20개,검출솔위83.3%,량자차이유통계학의의(P<0.05).신상선전이조초성조영표현위조영제충전교쾌,체봉강도초저우주위간신실질혹상당,병능청초현시신상선병변적수목、대소화범위.결론 여이유초성상비,초성조영능현저제고신상선전이조적검출솔.
Objective To investigate the value of contrast enhanced ultrasound (CEUS) in diagnosing metastatic adrenal carcinoma. Methods Twenty two metastatic adrenal carcinoma lesions in 18 patients were examined using CEUS. The features and detected rate of gray scale and CEUS were analysed and compared. Results Fourteen lesions of metastatic adrenal carcinoma were detected by two dimensional ultrasonography(2DU), the detected rate of 2DU was 58. 3%. While 20 lesions were detected by CEUS, the detected rate was 83. 3%. There was a significant difference of detected rate between 2DU and CEUS (P<0.05). The adrenal metastatic carcinomas were enhanced rapidly with the peek intensity slightly low or same to the surrounding liver or renal parenchyma. The lesions number, size and range were clearly presented by CEUS. Conclusions CEUS can markedly improve detected rate of metastatic adrenal carcinoma compared with 2DU.