CAJ | 학술논문

目的比较超声造影(CEUS)和增强CT(CECT)对Budd-Chiari综合征(BCS)合并肝内良恶性结节的鉴别诊断价值.方法对39例BCS合并肝内结节的患者分别行CEUS与CECT检查,观察结节在两种方法不同时期的灌注特征,以病理结果作为金标准,比较两种方法鉴别BCS合并再生结节与BCS合并肝细胞性肝癌(HCC)的敏感性、特异性、准确性.结果 39例患者66个病灶中,21个为BCS合并HCC,45个为BCS合并再生结节,CEUS和CECT的诊断敏感性、特异性、准确性分别为81％、91％、88％与71％、84％、80％,两种诊断方法差异无统计学意义(P＞0.05).结论 CEUS与CECT对BCS合并肝内结节良恶性的鉴别诊断有较高的一致性,CEUS便捷、安全,可作为首选检查方法.
목적 비교초성조영(CEUS)화증강CT(CECT)대Budd-Chiari종합정(BCS)합병간내량악성결절적감별진단개치.방법 대39례BCS합병간내결절적환자분별행CEUS여CECT검사,관찰결절재량충방법불동시기적관주특정,이병리결과작위금표준,비교량충방법감별BCS합병재생결절여BCS합병간세포성간암(HCC)적민감성、특이성、준학성.결과 39례환자66개병조중,21개위BCS합병HCC,45개위BCS합병재생결절,CEUS화CECT적진단민감성、특이성、준학성분별위81％、91％、88％여71％、84％、80％,량충진단방법차이무통계학의의(P＞0.05).결론 CEUS여CECT대BCS합병간내결절량악성적감별진단유교고적일치성,CEUS편첩、안전,가작위수선검사방법.
Objective To compare the value of contrast-enhanced ultrasound(CEUS) and contrastenhanced CT(CECT) for the differential diagnosis of the benign and malignant hepatic nodules in BuddChiari syndrome(BCS).Methods Thirty-nine BCS patients with hepatic nodules underwent CEUS and CECT examination separately,through which the perfusion characters of the nodules in different phases were observed.With the pathological result as the golden standard,the sensitivity,specificity and accuracy of CEUS and CECT were compared on diagnosing benign regenerative nodules and hepatocellular carcinoma (HCC) in BCS.Results Of the 66 hepatic lesions in 39 patients,21 were hepatocellular carcinoma(HCC),and the other 45 were regenerative nodules.The sensitivity,specificity and accuracy of CEUS and CECT were 81％,91％,88％ and 71％,84％,80％ respectively.Thus the diagnostic efficiency difference between CEUS and CECT had no statistic significance(P ＞0.05).Conclusions The differential diagnoses of the benign and malignant hepatic nodules in BCS on CEUS and CECT have high consistency.Due to the convenience and safety of CEUS,it can be used as first-line method.