常规超声和超声造影在眼眶肿瘤良恶性诊断中的应用
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Application of conventional ultrasound and contrast-enhanced ultrasound in the diagnosis of benign and malignant orbital tumors
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    摘要:

    目的:分析眼眶肿瘤的常规超声和超声造影特点,探讨常规超声和超声造影在眼眶肿瘤良恶性诊断中的应用价值。

    方法:选取沈阳市第四人民医院2011-05/2014-01期间收治的眼眶肿瘤患者35例作为研究对象,应用常规超声和超声造影分析眼眶肿瘤的形态、内部回声、彩色多普勒特点,应用SonoLiver软件分析超声造影检查资料及超声造影指标。

    结果:在35例眼眶肿瘤患者中,常规超声和超声造影诊断为良性肿瘤27例,诊断为恶性肿瘤8例,与术后病理结果对比,符合率为91%(32/35)。超声造影参数显示,上升时间(RT)及平均渡越时间(mTT)恶性组低于良性组,差异具有统计学意义(P<0.05); 达峰时间(TTP)在良性及恶性组间差异无统计学意义(P>0.05)。

    结论:应用超声结合造影可提高眼眶肿瘤的良恶性诊断准确率,有利于眼眶肿瘤的手术前定性诊断。

    Abstract:

    AIM: To analyze the characteristics of conventional ultrasound and contrast-enhanced ultrasound(CEUS)in the diagnosis of benign and malignant orbital tumors and to discuss the diagnostic value.

    METHODS: Thirty-five patients diagnosed as orbital tumors were selected from May 2011 to Jan. 2014 in Shenyang the Fourth Hospital of People. Conventional ultrasound and CEUS were used to analyze the morphologies, the tumor echo and the color doppler characteristics of the orbital tumors. SonoLiver software was used to analyze the ultrasonic imaging data and the parameters of the ultrasonic imaging.

    RESULTS: The conventional ultrasound and CEUS showed that in 35 patients diagnosed as orbital tumors, 27 cases were benign and 8 cases were malignant. Compared with post-operation pathology diagnose, the coincidence rate of was 91%(32/35). Ultrasound contrast parameters showed that the rising time(RT)and the mean transit time(mTT)in the malignant group was lower than in the benign group(P<0.05). The peak time(TTP)in the benign group and the malignant group was the same(P>0.05).

    CONCLUSION: The application of ultrasound combined with contrast-enhanced ultrasound can increased the coincidence rate in the diagnosis of benign and malignant orbital tumors and it is benefit for the per-operation qualitation diagnosis.

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马刚,郭佩琦,崔煜艳.常规超声和超声造影在眼眶肿瘤良恶性诊断中的应用.国际眼科杂志, 2017,17(1):171-173.

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  • 收稿日期:2016-08-31
  • 最后修改日期:2016-12-09
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  • 在线发布日期: 2016-12-21
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