CAJ | 학술논문

目的：探讨超声造影在腹部脏器肝、胆、脾和肾疾病诊断中的应用价值。方法对肝脏病变27例，胆囊壁占位病变30例，肾病变5例，肾损伤5例和脾病变6例患者进行超声造影检查。结果肝脏病变27例中肝细胞性肝癌3例，转移肝癌4例，肝脓肿4例，血管瘤10例，肝破裂并活动性出血3例，失访3例超声报告符合率约90%；胆囊壁占位病变30例中，超声造影考虑息肉，手术病理诊断全部符合息肉，超声报告符合率100%；肾病变5例，其中肾脓肿1例、肾柱肥大1例、肾血管瘤3例；肾损伤5例：其中挫裂伤3例，破裂并活动性出血2例，肾挫裂伤约61%，肾破裂出血约50%，肾脓肿和肾血管瘤均约100%；脾病变6例：其中脾梗塞1例、脾脓肿1例、脾破裂并出血4例，超声报告符合率约100%。结论超声造影在腹部脏器肝、胆、脾和肾疾病诊断方面具有较高的临床应用价值。
목적：탐토초성조영재복부장기간、담、비화신질병진단중적응용개치。방법대간장병변27례，담낭벽점위병변30례，신병변5례，신손상5례화비병변6례환자진행초성조영검사。결과간장병변27례중간세포성간암3례，전이간암4례，간농종4례，혈관류10례，간파렬병활동성출혈3례，실방3례초성보고부합솔약90%；담낭벽점위병변30례중，초성조영고필식육，수술병리진단전부부합식육，초성보고부합솔100%；신병변5례，기중신농종1례、신주비대1례、신혈관류3례；신손상5례：기중좌렬상3례，파렬병활동성출혈2례，신좌렬상약61%，신파렬출혈약50%，신농종화신혈관류균약100%；비병변6례：기중비경새1례、비농종1례、비파렬병출혈4례，초성보고부합솔약100%。결론초성조영재복부장기간、담、비화신질병진단방면구유교고적림상응용개치。
Objective To investigate the efficacy of contrast-enhanced ultrasound (CEUS) in diagnosing liver, gallbladder, spleen and renal diseases. Methods 27 patients with liver diseases, 30 patients with gallbladder diseases, 5 patients with renal diseases, 5 patients with renal trauma and 6 patients with spleen disease were examined by CEUS. Results There were 3 cases of primary hepatocellular carcinomas, 4 cases of metastatic hepatic carcinomas, 4 cases of liver abscess, 10 cases of hepatic hemangiomas and 3 cases of liver repture with active bleeding. The diagnostic coincidence rate of CEUS was 90%. 30 patients with gallbladder polyposis were diagnosed by CEUS, and the diagnostic coincidence rate was 100%. 5 cases with renal diaseses included 1 of renal abscess, 1 of renal column hypertrophy and 3 of renal hemangioma. In 5 cases with renal trauma, there were 3 cases with renal contusion and 2 cases with renal rupture and active bleeding. The coincidence rate was 61%. In 6 cases with spleen diseases, there were 1 case with splenic infraction, 1 case with splenic abscess and 4 cases with splenic rupture and hemorrhage. The coincidence rate was 100%. Conclusion CEUS has great value of clinical application in diagnosis of liver, gallbladder, spleen and renal diseases.