The application value of contrast-enhanced ultrasound in intracranial lesions

WU Yiyun; ZHANG Xinyi; CAI Ting; QIANG Ye; ZHAO Chun

doi:10.19732/j.cnki.2096-6210.2020.06.003

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The application value of contrast-enhanced ultrasound in intracranial lesions

更新时间：2025-12-15

- The application value of contrast-enhanced ultrasound in intracranial lesions
- Vol. 29, Issue 6, Pages: 536-540(2020)
- 作者机构：
- 作者简介：
- 基金信息：
- DOI：10.19732/j.cnki.2096-6210.2020.06.003
  CLC：
- Published Online：28 December 2020，
  
  Published：28 December 2020
- 稿件说明：
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吴意赟,张心怡,蔡婷,等. 超声造影在颅内病变手术中的应用[J]. 肿瘤影像学, 2020, 29(6): 536-540 https://doi.

org/10.19732/j.cnki.2096-6210.2020.06.003
吴意赟,张心怡,蔡婷,等. 超声造影在颅内病变手术中的应用[J]. 肿瘤影像学, 2020, 29(6): 536-540 https://doi. DOI： 10.19732/j.cnki.2096-6210.2020.06.003.

org/10.19732/j.cnki.2096-6210.2020.06.003 DOI：

摘要

目的：

探讨颅内病变手术中超声造影的应用价值。

方法：

选取2016年12月2020年2月在南京中医药大学附属医院神经外科接受颅内病变手术的28例患者，术中行常规超声和超声造影检查，将超声表现与病理学检查结果进行对照分析。

结果：

28例颅内病变超声表现均呈高回声，术中病变的显示率为100.00%。24例胶质瘤中，16例（66.67%）在常规超声中能清晰显示肿瘤边界，19例（79.17%）在超声造影时能清晰显示肿瘤边界，22例（91.67%）在两者结合时能清晰显示肿瘤边界，常规超声与常规超声结合超声造影评价胶质瘤边界显示率比较，差异有统计学意义（

＜0.05）。

结论：

常规超声结合超声造影有助于指导颅内病变手术边界的确定、术中残存肿瘤显示，提高颅内病变手术切除精准性。

Abstract

Objective:

To investigate the value of intraoperative contrast-enhanced ultrasound (CEUS) in intracranial lesions.

Methods:

A total of 28 patients who underwent surgery for intracranial lesions in the Department of Neurosurgery

Affiliated Hospital of Nanjing University of Chinese Medicine from Dec. 2016 to Feb. 2020 were selected. Conventional ultrasonography and CEUS were performed during the operation. The ultrasound findings were compared with pathological results.

Results:

Twenty-eight cases with intracranial lesions were hyperechoic on conventional ultrasonography and the display rate was 100.00%. Sixteen of 24 cases (66.67%

16/24) displayed c

lear tumor boundary in conventional ultrasonography. Nineteen of 24 cases (79.17%

19/24) displayed clear tumor boundary in CEUS. Twenty-two of 24 cases (91.67%

22/24) displayed clear tumor boundary in the combination of conventional ultrasonography with CEUS. There was a statistically significant difference between conventional ultrasonography and conventional ultrasonography combined with CEUS in the evaluation of glioma boundaries (

0.05).

Conclusion:

Intraoperative conventional ultrasonography combined with CEUS is useful to determine the surgical boundary of intracranial lesions

display the residual tumors during the operation

and improve the accuracy of surgical resection of intracranial lesions.

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