{"id":8609,"date":"2020-09-21T09:02:55","date_gmt":"2020-09-21T14:02:55","guid":{"rendered":"https:\/\/cornflowerblue-rail-980953.hostingersite.com\/?p=8609"},"modified":"2020-09-21T14:19:10","modified_gmt":"2020-09-21T19:19:10","slug":"whats-new-in-ultrasonography-chinese-september-2020","status":"publish","type":"post","link":"https:\/\/staging-hub.acoredu.com\/zh-hans\/whats-new-in-ultrasonography-chinese-september-2020\/","title":{"rendered":"What’s new in Ultrasonography (Chinese) – September 2020"},"content":{"rendered":"

\u8179\u90e8\u5f71\u50cf<\/strong><\/span><\/h3>\n

 <\/p>\n

\u521d\u6b65\u7814\u7a76<\/p>\n

\u6025\u6027\u5c40\u7076\u6027\u7ec6\u83cc\u6027\u80be\u708e\uff08\u6025\u6027\u5927\u53f6\u6027\u80be\u75c5\uff09\u4e0e\u6025\u6027\u80be\u76c2\u80be\u708e\u5f71\u50cf\u5b66\u8868\u73b0\u7684\u6bd4\u8f83\uff1a\u8d85\u58f0\u8bca\u65ad\u6025\u6027\u5c40\u7076\u6027\u7ec6\u83cc\u6027\u80be\u708e\u5145\u5206\u6027\u7684\u521d\u6b65\u8bc4\u4ef7<\/strong><\/span><\/h5>\n

Hosokawa T, Tanami Y, Sato Y, Oguma E.<\/p>\n

Emerg Radiol. 2020;27(4):405-412.<\/p>\n

https:\/\/doi.org\/10.1007\/s10140-020-01771-8<\/a><\/p>\n

\u80cc\u666f\uff1a<\/strong>\u6025\u6027\u5c40\u7076\u6027\u7ec6\u83cc\u6027\u80be\u708e\uff08AFBN\uff09\u7684\u6cbb\u7597\u65f6\u95f4\u4e0e\u6025\u6027\u80be\u76c2\u80be\u708e\u4e0d\u540c\uff0c\u56e0\u6b64\u51c6\u786e\u7684\u8bca\u65ad\u5bf9\u4e34\u5e8a\u6709\u91cd\u8981\u610f\u4e49\u3002<\/p>\n

\u95ee\u9898\uff1a<\/strong>\u4e0eCT\u76f8\u6bd4\uff0c\u6211\u4eec\u80fd\u533a\u5206AFBN\u548c\u6025\u6027\u80be\u76c2\u80be\u708e\u5417\uff1f<\/p>\n

\u5730\u70b9\uff1a<\/strong>\u65e5\u672c\u57fc\u7389<\/p>\n

\u53d7\u8bd5\u8005\u548c\u7eb3\u5165\u6807\u51c6\uff1a<\/strong>11\u540d24\u5c0f\u65f6\u5185\u6709\u5c3f\u8def\u611f\u67d3\u3001\u589e\u5f3aCT\u548c\u8d85\u58f0\u9020\u5f71\u7684\u513f\u7ae5\u3002<\/p>\n

\u8bbe\u8ba1\uff1a<\/strong>\u56de\u987e\u6027\u8bbe\u8ba1\uff0c\u6bd4\u8f83CT\u8868\u73b0\uff08\u5c40\u7076\u6027\u589e\u5f3a\u51cf\u5f31\uff09\u4e0e\u8d85\u58f0\u8868\u73b0\uff08\u5c40\u7076\u6027\u9ad8\u56de\u58f0\u3001\u8113\u80bf\u5f62\u6210\u3001\u5f25\u6f2b\u6027\u80be\u80bf\u5927\uff09\u7684\u5173\u7cfb\u3002\u5206\u6790\u91c7\u7528Fisher\u2019s\u7cbe\u786e\u68c0\u9a8c\u6cd5\u3002<\/p>\n

\u7ed3\u679c\uff1aAFBN 8\u4f8b\uff0c\u6025\u6027\u80be\u76c2\u80be\u708e3\u4f8b\uff08n=11\uff09\u3002\u5728\u8d85\u58f0\u4e0a\uff0c\u4e24\u7ec4\u5728\u76ae\u8d28\u80be\u5c0f\u7403\u7684\u5c40\u7076\u6027\u4e22\u5931\u7684\u53d1\u751f\u7387\u4e0a\u5b58\u5728\u663e\u7740\u5dee\u5f02\uff0c8\u4f8b\uff08100%\uff09AFBN\u60a3\u8005\u53d1\u751f\u548c\u65e0\u6025\u6027\u80be\u76c2\u80be\u708e\u60a3\u8005\u65e0\uff080%\uff09\u53d1\u751f\u4e22\u5931\uff08P=0.01\uff09\u3002\u8fd9\u4e9b\u75c5\u7076\u53bb\u5728CT\u4e0a\u8868\u73b0\u4e3a\u4f4e\u5f3a\u5316\u30022\u4f8b\u60a3\u8005\u5728CT\u4e0a\u6709\u591a\u5904\u75c5\u53d8\uff0c\u8d85\u58f0\u4ec5\u53d1\u73b0\u4e00\u5904\u75c5\u7076\u5f02\u5e38\u3002\u8d85\u58f0\u4e0a\u5c40\u7076\u6027\u9ad8\u56de\u58f0\u3001\u8113\u80bf\u5f62\u6210\u3001\u5f25\u6f2b\u6027\u80be\u80bf\u5927\u5728\u4e24\u7ec4\u95f4\u65e0\u7edf\u8ba1\u5b66\u5dee\u5f02\u3002<\/p>\n

\u7ed3\u8bba\u548c\u8bc4\u8bba\uff1a<\/strong>\u6839\u636e\u8fd9\u9879\u5c0f\u89c4\u6a21\u56de\u987e\u6027\u7814\u7a76\u7684\u7ed3\u679c\uff0c\u4ec5\u8d85\u58f0\u68c0\u67e5\u53ef\u80fd\u6709\u52a9\u4e8e\u8bca\u65ad\u6025\u6027\u5c40\u7076\u6027\u7ec6\u83cc\u6027\u80be\u708e\u3002<\/p>\n

 <\/p>\n

\u521d\u6b65\u7814\u7a76<\/p>\n

\u4e0d\u786e\u5b9a\u6027\u80be\u810f\u80bf\u5757\u7684\u8d85\u58f0\u9020\u5f71\u5bf9\u60a3\u8005\u4e34\u5e8a\u7ba1\u7406\u7684\u5f71\u54cd\uff1a\u6765\u81ea\u4e24\u4e2a\u673a\u6784\u7684\u56de\u987e\u6027\u5206\u6790<\/strong><\/span><\/h5>\n

Eisenbrey JR, Kamaya A, Gummadi S, Bird K, Burrowes D, Arias D, Lallas CD, Trabulsi EJ, Lyshchik A.<\/p>\n

Journal of Ultrasound in Medicine (2020).<\/p>\n

https:\/\/doi.org\/10.1002\/jum.15383<\/a><\/p>\n

\u80cc\u666f\uff1a<\/strong>\u5df2\u786e\u5b9a\u7684\u80be\u810f\u75c5\u53d8\u662f\u5e38\u89c1\u7684\uff0c\u5148\u524d\u7684\u7814\u7a76\u5df2\u7ecf\u8bc1\u5b9e\u9020\u5f71\u589e\u5f3a\u8d85\u58f0\uff08CEUS\uff09\u662f\u4e00\u79cd\u6709\u6548\u7684\u80be\u810f\u80bf\u5757\u5b9a\u6027\u5de5\u5177\u3002<\/p>\n

\u95ee\u9898\uff1a<\/strong>CEUS\u7528\u4e8e\u8bc4\u4f30\u5bf9\u4e0d\u786e\u5b9a\u6027\u80be\u80bf\u5757\u957f\u671f\u4e34\u5e8a\u6cbb\u7597\u6709\u4f55\u5f71\u54cd\uff1f<\/p>\n

\u5730\u70b9\uff1a<\/strong>\u53cc\u91cd\u673a\u6784\uff1a\u65af\u5766\u798f\u5927\u5b66\u3001\u52a0\u5dde\u5e15\u6d1b\u963f\u5c14\u6258\u548c\u5bbe\u5915\u6cd5\u5c3c\u4e9a\u5dde\u8d39\u57ce\u6258\u9a6c\u65af\u00b7\u6770\u6590\u900a\u5927\u5b66<\/p>\n

\u53d7\u8bd5\u8005\u548c\u7eb3\u5165\u6807\u51c6\uff1a<\/strong>157\u4f8b\u6709\u6162\u6027\u80be\u810f\u75be\u75c5\u6216\u80be\u5207\u9664\u7684\u60a3\u8005\u4e2d215\u4e2a\u80be\u810f\u75c5\u53d8\uff0c\u5728\u4efb\u4f55\u6cbb\u7597\u524d\u90fd\u8fdb\u884c\u4e86CEUS\u68c0\u67e5\u3002<\/p>\n

\u8bbe\u8ba1\uff1a<\/strong>\u56de\u987e\u6027\u8bbe\u8ba1\uff0c\u6bd4\u8f83CEUS\u540e\u75c5\u53d8\u7684\u6076\u6027\u7a0b\u5ea6\u548c\u624b\u672f\u7387\u3002<\/p>\n

\u7ed3\u679c\uff1a<\/strong>215\u4e2a\u75c5\u7076\u4e2d\uff0c154\u4e2a\uff0871.6%\uff09\u5efa\u8bae\u624b\u672f\u6216\u4e0d\u968f\u8bbf\uff0c61\u4e2a\uff0828.4%\uff09\u9700\u8981\u968f\u8bbf\u3002\u5728\u8fd9154\u4e2a\u75c5\u7076\u4e2d\uff0c118\u4e2a\u75c5\u7076\u88abCRUS\u8ba4\u5b9a\u662f\u826f\u6027\u7684\uff0c\u56e0\u6b64\u6ca1\u6709\u63a5\u53d7\u5e72\u9884\u3002\u624b\u672f\u6cbb\u759724\u4f8b\uff0815.6%\uff09\uff0c\u5176\u4e2d21\u4f8b\uff0887.5%\uff09\u75c5\u7406\u8bc1\u5b9e\u4e3a\u6076\u6027\u80bf\u7624\u3002\u7ecfCEUS\u8bca\u65ad\u4e3a\u826f\u6027\u4e14\u65e0\u9700\u968f\u8bbf\u7684118\u4e2a\u75c5\u53d8\u4e2d\uff0c\u6ca1\u6709\u4e00\u4e2a\u5728\u4e4b\u540e\u88ab\u6000\u7591\u6216\u8bc1\u5b9e\u4e3a\u80be\u7ec6\u80de\u764c\u3002<\/p>\n

\u7ed3\u8bba\u4e0e\u8bc4\u8bba\uff1a<\/strong>CEUS\u5bf9\u4e0d\u660e\u786e\u7684\u80be\u80bf\u5757\u60a3\u8005\u6709\u91cd\u8981\u7684\u957f\u671f\u4e34\u5e8a\u5f71\u54cd\u3002<\/p>\n

 <\/p>\n

\u521d\u6b65\u7814\u7a76<\/p>\n

\u201c\u5047\u5b55\u56ca\u201d\u548c\u5176\u4ed61980\u5e74\u4ee3\u521d\u65e9\u671f\u598a\u5a20\u671f\u8d85\u58f0\u7684\u6982\u5ff5<\/strong><\/span><\/h5>\n

Phillips CH, Benson CB, Durfee SM, Heller HT, Doubilet PM.<\/p>\n

Journal of Ultrasound in Medicine. 2020 Feb 11.<\/p>\n

https:\/\/doi.org\/10.1002\/jum.15243<\/a><\/p>\n

\u80cc\u666f\uff1a<\/strong>\u5728\u8d85\u58f0\u65e9\u671f\uff08\u5305\u62ec20\u4e16\u7eaa80\u5e74\u4ee3\uff09\uff0c\u8bb8\u591a\u5178\u578b\u7684\u4ea7\u79d1\u7279\u5f81\u88ab\u63cf\u8ff0\u51fa\u6765\uff0c\u5728\u6700\u8fd1\u7684\u51e0\u5341\u5e74\u91cc\uff0c\u8d85\u58f0\u53d1\u751f\u4e86\u8bb8\u591a\u53d8\u5316\uff0c\u5305\u62ec\u5206\u8fa8\u7387\u7684\u663e\u8457\u63d0\u9ad8\u3002<\/p>\n

\u95ee\u9898\uff1a<\/strong>\u4f20\u7edf\u7684\u598a\u5a20\u65e9\u671f\u8d85\u58f0\u7279\u5f81\u5728\u4eca\u5929\u4ecd\u7136\u9002\u7528\u5417\uff1f<\/p>\n

\u5730\u70b9\uff1a<\/strong>\u9a6c\u8428\u8bf8\u585e\u5dde\u6ce2\u58eb\u987f\u5e03\u91cc\u683c\u59c6\u5973\u5b50\u533b\u9662<\/p>\n

\u53d7\u8bd5\u8005\u548c\u7eb3\u5165\u6807\u51c6\uff1a<\/strong>649\u4f8b\u8d85\u58f0\u68c0\u67e5\uff0c\u5b50\u5bab\u5185\u56ca\u72b6\u7ed3\u6784\u7f3a\u4e4f\u5375\u9ec4\u56ca\u6216\u80da\u80ce\uff0c\u65e0\u5375\u5de2\u5916\u9644\u4ef6\u80bf\u5757\uff0c\u968f\u8bbf\u8d44\u6599\u786e\u5b9a\u598a\u5a20\u90e8\u4f4d\u3002<\/p>\n

\u8bbe\u8ba1\uff1a<\/strong>\u56de\u987e\u6027\u8bbe\u8ba1\u3002\u56de\u987e\u4e86\u8d85\u58f0\u68c0\u67e5\uff0c\u8bb0\u5f55\u4e86\u7279\u5f81\u7684\u5b58\u5728\u4e0e\u5426\uff0c\u5305\u62ec\u5bab\u5185\u96c6\u5408\u7269\u5468\u56f4\u7684\u56de\u58f0\u73af\u3001\u53cc\u56ca\u5f81\uff08DSS\uff09\u548c\u8715\u819c\u5185\u5f81\uff08IDS\uff09\u3002\u8bb0\u5f55\u5e73\u5747\u56ca\u5f84\u3002<\/p>\n

\u7ed3\u679c\uff1a<\/strong>598\u4f8b\uff0892%\uff09\u5bab\u5185\u96c6\u5408\u7269\u6709\u56de\u58f0\u8fb9\u7f18\uff0c182\u4f8b\uff0828%\uff09\u6709DSS\uff0c347\u4f8b\uff0854%\uff09\u6709IDS\u3002\u6240\u6709649\u4f8b\u60a3\u8005\u90fd\u6709\uff08\u540e\u6765\u8bc1\u5b9e\uff09\u5bab\u5185\u598a\u5a20\uff0c\u56e0\u6b64\u6ca1\u6709\u4e00\u4e2a\u79ef\u6db2\u88ab\u8bc1\u660e\u662f\u5047\u598a\u5a20\u56ca\u3002<\/p>\n

\u7ed3\u8bba\u548c\u8bc4\u8bba\uff1a<\/strong>\u5728bHCG\u9633\u6027\u4e14\u8d85\u58f0\u68c0\u67e5\u672a\u53d1\u73b0\u5f02\u4f4d\u598a\u5a20\u7684\u60a3\u8005\u4e2d\uff0c\u5bab\u5185\u79ef\u6db2\u51e0\u4e4e\u53ef\u4ee5\u80af\u5b9a\u662f\u598a\u5a20\u56ca\u3002\u9274\u4e8e\u8d85\u58f0\u51b3\u8bae\u7684\u589e\u52a0\uff0c\u8fd9\u4e9b\u4f20\u7edf\u5f81\u8c61\u5728\u4eca\u5929\u53ef\u80fd\u6ca1\u6709\u7528\u5904\u3002<\/p>\n

 <\/p>\n

\u521d\u6b65\u7814\u7a76<\/p>\n

\u8d85\u58f0\u9020\u5f71LI-RADS 2017\uff1a\u4e0eCT\/MRI LI-RADS\u5bf9\u6bd4<\/strong><\/span><\/h5>\n

Ding J, Long L, Zhang X, Chen C, Zhou H, Zhou Y, Wang Y, Jing X, Ye Z, Wang F.<\/p>\n

European Radiology. 2020 Aug 15:1-8.<\/p>\n

https:\/\/doi.org\/10.1007\/s00330-020-07159-z<\/a><\/p>\n

\u80cc\u666f\uff1a<\/strong>ACR\u4e8e2016\u5e74\u5f00\u53d1\u4e86CEUS\u809d\u810f\u6210\u50cf\u62a5\u544a\u548c\u6570\u636e\u7cfb\u7edf\uff08LI-RADS\uff09\uff0c\u5e76\u5c06\u5176\u4e0eCT\u548cMRI\u4e00\u8d77\u6dfb\u52a0\u52302017\u7248\u4e2d\u3002<\/p>\n

\u95ee\u9898\uff1a<\/strong>CEUS\u4e0e\u4f7f\u75282017\u7248LI-RADS\u7684CT\u548cMRI\u76f8\u6bd4\u5982\u4f55\uff1f<\/p>\n

\u5730\u70b9\uff1a<\/strong>\u4e2d\u56fd\uff0c\u5929\u6d25<\/p>\n

\u53d7\u8bd5\u8005\u548c\u7eb3\u5165\u6807\u51c6\uff1a<\/strong>239\u4f8b\u60a3\u8005\u5171273\u4e2a\u7ed3\u8282\uff0c\u7b26\u5408\u809d\u7ec6\u80de\u764c\uff08HCC\uff09\u9ad8\u5371\u60a3\u8005\u7684\u5165\u9009\u6807\u51c6\uff0c\u8fd9\u4e9b\u60a3\u8005\u63a5\u53d7\u4e86CEUS\u548cCT\u6216MRI\u589e\u5f3a\u626b\u63cf\u3002\u6240\u6709\u60a3\u8005\u5747\u6709\u75c5\u7406\u5b66\u68c0\u67e5\u3002<\/p>\n

\u7ed3\u679c\uff1a<\/strong>CEUS\u4e0eCT\/MRI\u4e00\u81f4\u6027\u8f83\u597d\uff0ckappa\u503c\u4e3a0.319\uff08P<0.001\uff09\u3002<\/p>\n\n\n\n\n\n\n
\u00a0<\/strong><\/td>\n\u9633\u6027\u9884\u6d4b\u503c<\/strong><\/td>\n<\/tr>\n
\u00a0<\/strong><\/td>\nLR-5<\/strong><\/td>\nLR-4<\/strong><\/td>\nLR-3<\/strong><\/td>\nLR-M<\/strong><\/td>\n<\/tr>\n
CEUS<\/strong><\/td>\n98.3%<\/td>\n60%<\/td>\n25%<\/td>\n33.9%<\/td>\n<\/tr>\n
CT\/MRI<\/strong><\/td>\n95.9%<\/td>\n65.7%<\/td>\n48.1%<\/td>\n93.3%<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n\n\n\n
\u00a0<\/strong><\/td>\nLR-5<\/strong><\/td>\nLR-M<\/strong><\/td>\n<\/tr>\n
\u00a0<\/strong><\/td>\n\u654f\u611f\u6027<\/strong><\/td>\n\u7279\u5f02\u6027<\/strong><\/td>\n\u654f\u611f\u6027<\/strong><\/td>\n\u7279\u5f02\u6027<\/strong><\/td>\n<\/tr>\n
CEUS<\/strong><\/td>\n75.6%<\/td>\n93.8%<\/td>\n90.9%<\/td>\n84.5%<\/td>\n<\/tr>\n
CT\/MRI<\/strong><\/td>\n83.6%<\/td>\n83.3%<\/td>\n63.6%<\/td>\n99.6%<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

 <\/p>\n

\u7ed3\u8bba\u548c\u8bc4\u8bba\uff1a<\/strong>CEUS\u548cCT\/MRI\u5728LI-RADS\u8bc4\u5206\u4e2d\u662f\u7b49\u6548\u7684\uff0c\u4f46\u662f\u5728\u786e\u5b9aLR-5\u7c7b\u75c5\u7076\u65f6\u7684\u9633\u6027\u9884\u6d4b\u503c\u5177\u6709\u53ef\u6bd4\u6027\u3002CT\/MRI\u66f4\u9002\u5408\u8bca\u65adLR-M\uff08\u975eHCC\uff09\u6076\u6027\u80bf\u7624\u3002<\/p>\n

 <\/p>\n

\u521d\u6b65\u7814\u7a76<\/p>\n

\u7ed3\u5408\u5e38\u89c4\u8d85\u58f0\u53ca\u5bf9\u6bd4\u589e\u5f3a\u8d85\u58f0\u7279\u5f81\u7684\u80bf\u7624\u751f\u7269\u6807\u5fd7\u7269\u5bf9\u7ed3\u76f4\u80a0\u764c\u809d\u8f6c\u79fb\u548c\u80c3\u80a0\u9053\u95f4\u8d28\u7624\u809d\u8f6c\u79fb\u7684\u9274\u522b\u8bca\u65ad<\/strong><\/span><\/h5>\n

Yang D, Zhuang B, Wang W, Xie X, Xie X.<\/p>\n

Abdominal Radiology (New York) (2020).<\/p>\n

https:\/\/doi.org\/10.1007\/s00261-020-02592-6<\/a><\/p>\n

\u80cc\u666f\uff1a<\/strong>\u80c3\u80a0\u9053\u95f4\u8d28\u7624\uff08GISTs\uff09\u662f\u6700\u5e38\u89c1\u7684\u6d88\u5316\u9053\u95f4\u8d28\u80bf\u7624\uff0c\u5927\u7ea620\uff05\u7684GISTs\u662f\u6076\u6027\u7684\u3002\u809d\u8f6c\u79fb\u662f\u5e38\u89c1\u7684\uff0c\u5076\u5c14\u5728\u521d\u8bca\u5f02\u5e38\u4e2d\u88ab\u53d1\u73b0\u3002\u6700\u5e38\u89c1\u7684\u809d\u8f6c\u79fb\u7c7b\u578b\u662f\u7ed3\u76f4\u80a0\u764c\u3002<\/p>\n

\u95ee\u9898\uff1a<\/strong>\u5229\u7528\u5b9e\u9a8c\u5ba4\u751f\u7269\u6807\u5fd7\u7269\uff0c\u5e38\u89c4\u8d85\u58f0\u548c\u8d85\u58f0\u9020\u5f71\u80fd\u5426\u51c6\u786e\u533a\u5206GIST\u548cCRC\u7684\u809d\u8f6c\u79fb\uff1f<\/p>\n

\u5730\u70b9\uff1a<\/strong>\u4e2d\u56fd\uff0c\u5e7f\u5dde<\/p>\n

\u53d7\u8bd5\u8005\u548c\u7eb3\u5165\u6807\u51c6\uff1a160\u4f8b\u60a3\u8005\uff0c80\u4f8b\u4e3aGIST\u809d\u8f6c\u79fb\uff0c80\u4f8b\u4e3a\u7ed3\u76f4\u80a0\u764c\u809d\u8f6c\u79fb\u3002\u60a3\u8005\u5fc5\u987b\u6709\u4e00\u6b21CEUS\u53ef\u4f9b\u5206\u6790\u3002<\/p>\n

\u8bbe\u8ba1\uff1a<\/strong>\u56de\u987e\u6027\u8bbe\u8ba1\u3002\u8bb0\u5f55\u58f0\u50cf\u56fe\u7279\u5f81\u548c\u5b9e\u9a8c\u5ba4\u751f\u7269\u6807\u5fd7\u7269\uff08CA125\u548cCEA\uff09\u5e76\u8fdb\u884c\u591a\u5143\u5206\u6790\u3002<\/p>\n

\u7ed3\u679c\uff1a<\/strong>\u8d85\u58f0\u4e0a\uff0c\u4f4e\u56de\u58f0\u3001\u6df7\u5408\u56de\u58f0\u3001\u65e0\u56de\u58f0\u533a\u4e0eGIST\u8f6c\u79fb\u76f8\u5173\uff08P<0.05\uff09\u3002\u7ecfCEUS\u68c0\u67e5\uff0cGIST\u8f6c\u79fb\u7624\u5305\u819c\u5f3a\u5316\u3001\u5ed3\u6e05\u65f6\u95f4>40s\u3001\u975e\u5f3a\u5316\u533a\u6bd4\u4f8b>20%\uff08P<0.05\uff09\u3002\u5c06\u5b9e\u9a8c\u5ba4\u751f\u7269\u6807\u5fd7\u7269\u4e0e\u8d85\u58f0\u7279\u5f81\u76f8\u7ed3\u5408\uff0c\u654f\u611f\u6027\u63d0\u9ad8\u523070%\uff0c\u7279\u5f02\u6027\u63d0\u9ad8\u523097.5%\u3002<\/p>\n

\u7ed3\u8bba\u4e0e\u8bc4\u8bba\uff1a<\/strong>GIST\u809d\u8f6c\u79fb\u7624\u7684\u58f0\u50cf\u56fe\u7279\u5f81\u6709\u52a9\u4e8e\u4e0e\u7ed3\u76f4\u80a0\u764c\u809d\u8f6c\u79fb\u76f8\u9274\u522b\uff0c\u5c24\u5176\u662f\u4e0e\u5b9e\u9a8c\u5ba4\u751f\u7269\u6807\u5fd7\u7269\uff08CA125\u548cCEA\uff09\u76f8\u7ed3\u5408\u65f6\u3002<\/p>\n

 <\/p>\n

\u521d\u6b65\u7814\u7a76<\/p>\n

\u516d\u6c1f\u5316\u786b\u548c\u5168\u6c1f\u4e01\u70f7\u8d85\u58f0\u589e\u5f3a\u9020\u5f71\u5242\u5bf9\u9ad8\u5371\u4eba\u7fa4\u809d\u7ec6\u80de\u764c\u7684\u8bca\u65ad<\/strong><\/span><\/h5>\n

Kang HJ, Lee JM, Yoon JH, Lee K, Kim H, Han JK.<\/p>\n

Radiology, 200115.<\/p>\n

https:\/\/doi.org\/10.1148\/radiol.2020200115<\/a><\/p>\n

\u80cc\u666f\uff1a<\/strong>\u516d\u6c1f\u5316\u786b\uff08SHF\uff09\u662f\u4e00\u79cd\u5e94\u7528\u5e7f\u6cdb\u7684\u7eaf\u8840\u7ba1\u5185\u8d85\u58f0\u9020\u5f71\u5242\u3002\u5168\u6c1f\u4e01\u70f7\uff08PFB\uff09\u662f\u4e00\u79cd\u5e94\u7528\u8f83\u5c11\u7684\u9020\u5f71\u5242\uff0c\u5b83\u53ef\u4ee5\u901a\u8fc7\u5438\u6536\u9020\u5f71\u5242\u8fdb\u5165Kupffer\u7ec6\u80de\u6765\u8bc4\u4f30Kupffer\u671f\u7684\u809d\u5b9e\u8d28\u3002<\/p>\n

\u95ee\u9898\uff1a<\/strong>\u4f7f\u7528LI-RADS 2017\u7248\u8bc4\u4f30HCC\u65f6\uff0cSHF\u548cPFB\u7684\u5bf9\u6bd4\u5ea6\u5982\u4f55\uff1f<\/p>\n

\u5730\u70b9\uff1a<\/strong>\u97e9\u56fd\u9996\u5c14\u56fd\u7acb\u5927\u5b66<\/p>\n

\u53d7\u8bd5\u8005\u548c\u7eb3\u5165\u6807\u51c6\uff1a<\/strong>59\u540d\u53d7\u8bd5\u8005\uff0c\u809d\u7ec6\u80de\u764c\u9ad8\u98ce\u9669\uff0c\u672a\u7ecf\u6cbb\u7597\u7684LR-3\u6216\u66f4\u9ad8\u89c2\u5bdf\u503c\u3002<\/p>\n

\u8bbe\u8ba1\uff1a<\/strong>\u524d\u77bb\u6027\u8bbe\u8ba1\u3002\u60a3\u8005\u884cCEUS\u68c0\u67e5\uff0c\u540c\u65f6\u884cPFB\u548cSHF\u3002\u8bb0\u5f55PFB\u7684\u52a8\u8109\u671f\u9ad8\u5f3a\u5316\uff08APHE\uff09\u3001\u65f6\u95f4\u548c\u7a0b\u5ea6\uff0c\u4ee5\u53caKupffer\u671f\u7684\u56de\u58f0\u3002\u91c7\u7528McNemar\u68c0\u9a8c\u8fdb\u884c\u5206\u6790\u3002<\/p>\n

\u7ed3\u679c\uff1a<\/strong>PFB\u7ec4\u809d\u7ec6\u80de\u764c\u665a\u671f\u8f7b\u5ea6\u5ed3\u6e05\uff08\u226560\u79d2\uff09\u7684\u53d1\u751f\u7387\uff0879%\uff09\u9ad8\u4e8eSHF\u7ec4\uff0853%\uff09\uff08P=0.04\uff09\u3002\u4f7f\u7528PFB\u65f6\uff0c\u6076\u6027\u75c5\u53d8\uff0892%\uff09\u8f83\u826f\u6027\u75c5\u53d8\uff0833%\uff09\u66f4\u5e38\u89c1Kupffer\u671f\u4f4e\u5f3a\u5316\u3002PFB\u548cSHF\u7684\u654f\u611f\u6027\u5206\u522b\u4e3a79%\u548c54%\uff0c\u800c\u7279\u5f02\u6027\u5747\u4e3a100%\u3002<\/p>\n

\u7ed3\u8bba\u548c\u8bc4\u8bba\uff1a<\/strong>\u4f7f\u75282017\u7248LI-RADS\uff0c\u5168\u6c1f\u4e01\u70f7CEUS\u6bd4\u516d\u6c1f\u5316\u786b\u5177\u6709\u66f4\u9ad8\u7684\u8bca\u65ad\u6027\u80fd\u3002<\/p>\n

 <\/p>\n

\u4ecb\u5165\u5f71\u50cf\u5b66<\/strong><\/span><\/h3>\n

 <\/p>\n

\u521d\u6b65\u7814\u7a76<\/p>\n

\u8d85\u58f0\u5f15\u5bfc\u95e8\u9759\u8109\u901a\u8def\u548c\u7ecf\u76ae\u7a7f\u523a\u95e8\u9759\u8109\u7f6e\u4e1d\u4e0eTIPS\u7f6e\u5165\u672f\u4e2d\u7f29\u77ed\u624b\u672f\u65f6\u95f4\u548c\u964d\u4f4e\u8f90\u5c04\u5242\u91cf\u6709\u5173<\/span><\/strong><\/h5>\n

Cam I, Gencturk M, Shrestha P, Golzarian J, Flanagan S, Lim N, Young S.<\/p>\n

AJR Am J Roentgenol. 2020.<\/p>\n

https:\/\/doi.org\/10.2214\/AJR.20.23846<\/a><\/p>\n

\u80cc\u666f\uff1a<\/strong>\u7ecf\u9888\u9759\u8109\u809d\u5185\u95e8\u4f53\u5206\u6d41\u672f\uff08TIPS\uff09\u53ef\u4ee5\u6709\u6548\u5730\u6cbb\u7597\u95e8\u9759\u8109\u9ad8\u538b\u75c7\u7684\u8bb8\u591a\u5e76\u53d1\u75c7\uff0c\u5e76\u4e14\u53ef\u4ee5\u91c7\u7528\u591a\u79cd\u4e0d\u540c\u7684\u65b9\u6cd5\u3002<\/p>\n

\u95ee\u9898\uff1a<\/strong>\u5728\u6267\u884cTIPS\u65f6\uff0c\u54ea\u79cd\u6cbb\u7597\u65b9\u6cd5\u6700\u6709\u6548\uff1f<\/p>\n

\u5730\u70b9\uff1a<\/strong>\u660e\u5c3c\u82cf\u8fbe\u5927\u5b66\uff0c\u660e\u5c3c\u963f\u6ce2\u5229\u65af\uff0c\u660e\u5c3c\u82cf\u8fbe\u5dde<\/p>\n

\u53d7\u8bd5\u8005\u548c\u7eb3\u5165\u6807\u51c6\uff1a<\/strong>264\u540d\u60a3\u8005\u901a\u8fc7\u4ee5\u4e0b\u4e09\u79cd\u65b9\u5f0f\u4e2d\u7684\u4e00\u79cd\u5b8c\u6210tips\uff1a<\/p>\n

\u7b2c1\u7ec4\uff08G1\uff09\uff1a\u7ecf\u8179\u8d85\u58f0\u5f15\u5bfc<\/p>\n

\u7b2c2\u7ec4\uff08G2\uff09\uff1a\u8367\u5149\u900f\u89c6\u4e0b\u6954\u5f62\u809d\u95e8\u9759\u8109\u9020\u5f71<\/p>\n

\u7b2c3\u7ec4\uff08G3\uff09\uff1a\u7ecf\u76ae\u95e8\u9759\u8109\u5bfc\u4e1d\u5165\u8def\u900f\u89c6\u68c0\u67e5<\/p>\n

\u8bbe\u8ba1\uff1a<\/strong>\u56de\u987e\u6027\u8bbe\u8ba1\uff0c\u8bc4\u4f30\u900f\u89c6\u65f6\u95f4\u3001\u9ebb\u9189\u65f6\u95f4\u3001\u9020\u5f71\u5242\u7528\u91cf\u548c\u809d\u5185\u7a7f\u523a\u6b21\u6570\u3002<\/p>\n

\u7ed3\u679c\uff1a<\/strong><\/p>\n

\u6570\u503c\u548c\u663e\u8457\u6027\u5dee\u5f02\u89c1\u8868\u3002\u6839\u636eP\u22640.005\uff0c\u672a\u5217\u51fa\u7684\u5dee\u5f02\u4e0d\u663e\u8457\u3002<\/p>\n

\u5f53\u5408\u5e76\u6765\u81eaG1\u548cG3\u7684\u5e76\u53d1\u75c7\u65f6\uff0cG2\u6709\u66f4\u591a\u7684\u5e76\u53d1\u75c7\uff08p=0.013\uff09<\/p>\n\n\n\n\n\n\n\n
\u00a0<\/strong><\/td>\n\u7ec4\u522b<\/strong>1 (n=54)<\/strong><\/td>\n\u7ec4\u522b<\/strong>2 (n=172)<\/strong><\/td>\n\u7ec4\u522b<\/strong>3 (n=38)<\/strong><\/td>\n\u663e\u8457\u6027\u5dee\u5f02<\/strong>(P Value)<\/strong><\/td>\n<\/tr>\n
\u900f\u89c6\u65f6\u95f4\uff08\u5747\u503c\uff09<\/strong><\/td>\n34.8 \u5206\u949f<\/td>\n38.9 \u5206\u949f<\/td>\n29.5 \u5206\u949f<\/td>\nG2 \u5927\u4e8eG3 (P=0.005)<\/td>\n<\/tr>\n
\u5168\u9ebb\u65f6\u95f4\uff08\u5747\u503c\uff09<\/strong><\/td>\n190.2 \u5206\u949f<\/td>\n199.7 \u5206\u949f<\/td>\n162.6 \u5206\u949f<\/td>\nG3 \u5c0f\u4e8eG1 (p=0.003) \u548cG2 (P=0.005)<\/td>\n<\/tr>\n
\u5bf9\u6bd4\u5242\u5bb9\u91cf<\/strong><\/td>\n67.9 \u6beb\u5347<\/td>\n87.1 \u6beb\u5347<\/td>\n—<\/td>\nG1 \u5c0f\u4e8eG2 (p=0.005)<\/td>\n<\/tr>\n
\u809d\u5185\u7a7f\u523a\uff08\u4e2d\u4f4d\u6570\uff09<\/strong><\/td>\n2<\/td>\n4<\/td>\n2<\/td>\nG2 \u5927\u4e8eG1 (p=0.004) \u548c G3 (p=0.039)<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

 <\/p>\n

\u7ed3\u8bba\u548c\u8bc4\u8bba\uff1a<\/strong>\u8d85\u58f0\u5f15\u5bfc\uff08\u7b2c1\u7ec4\uff09\u548c\u7ecf\u76ae\u5bfc\u4e1d\u5165\u8def\uff08\u7b2c3\u7ec4\uff09\u884cTIPS\u68c0\u67e5\u53ef\u4ee5\u7f29\u77ed\u900f\u89c6\u548c\u9ebb\u9189\u65f6\u95f4\uff0c\u5e76\u53ef\u80fd\u51cf\u5c11\u5e76\u53d1\u75c7\u3002<\/p>\n

 <\/p>\n

\u80f8\u90e8\u5f71\u50cf<\/strong><\/span><\/h3>\n

 <\/p>\n

\u51a0\u72b6\u75c5\u6bd2\u75c5\uff08COVID-19\uff09\u60a3\u8005\u7684\u80ba\u90e8\u8d85\u58f0\u68c0\u67e5\u7ed3\u679c<\/strong><\/span><\/h5>\n

Zhang Y, Xue H, Wang M, He N, Lv Z, Cui L.<\/p>\n

AJR Am J Roentgenol. 2020;1-5.<\/p>\n

https:\/\/doi.org\/10.2214\/AJR.20.23513<\/a><\/p>\n

\u80cc\u666f\uff1a<\/strong>COVID-19\u80ba\u708e\u7684CT\u8868\u73b0\u5df2\u5f97\u5230\u5f88\u597d\u7684\u63cf\u8ff0\uff0c\u4f46\u80ba\u90e8\u8d85\u58f0\u68c0\u67e5\u7684\u7ed3\u679c\u5374\u8f83\u5c11\u3002<\/p>\n

\u95ee\u9898\uff1a<\/strong>COVID-19\u80ba\u708e\u7684\u5178\u578b\u80ba\u90e8\u8d85\u58f0\u8868\u73b0\u662f\u4ec0\u4e48\uff1f\u662f\u5426\u4e0e\u75be\u75c5\u7684\u4e25\u91cd\u7a0b\u5ea6\u548c\u75c5\u7a0b\u6709\u5173\uff1f<\/p>\n

\u5730\u70b9\uff1a<\/strong>\u4e2d\u56fd\u5317\u4eac\u9996\u90fd\u533b\u7597\u4e2d\u5fc3<\/p>\n

\u53d7\u8bd5\u8005\u548c\u7eb3\u5165\u6807\u51c6\uff1a28\u4f8b\uff08\u753714\u5973\uff09SARS-CoV-2\u548c\u80ba\u8d85\u58f0\u68c0\u6d4b\u9633\u6027\u7684\u60a3\u8005\u3002<\/p>\n

\u8bbe\u8ba1\uff1a<\/strong>\u56de\u987e\u6027\u8bbe\u8ba1\uff0c\u5bf9\u80ba\u90e8\u8d85\u58f0\u7279\u5f81\u8fdb\u884c\u8bc4\u4f30\u548c\u8bb0\u5f55\u3002Fisher\u7cbe\u786e\u68c0\u9a8c\u7528\u4e8e\u6bd4\u8f83\u75be\u75c5\u6301\u7eed\u65f6\u95f4\u548c\u4e25\u91cd\u7a0b\u5ea6\u3002<\/p>\n

\u7ed3\u679c\uff1a<\/strong>28\u4f8b\uff08100%\uff09\u60a3\u8005\u7684\u80ba\u8d85\u58f0\u8868\u73b0\u5747\u5f02\u5e38\u300228\u4f8b\u60a3\u8005\u4e2d\u6700\u5e38\u89c1\u7684\u662fB\u578b\u7ebf\uff08100%\uff09\uff0c19\u4f8b\uff0867.9%\uff09\u5408\u5e76\u80f8\u819c\u589e\u539a\uff0860.7%\uff09\u3002\u80f8\u819c\u589e\u539a\u4e0e\u75c5\u7a0b\u5ef6\u957f\u6709\u5173\uff0c\u91cd\u75c7\u60a3\u8005\u80f8\u819c\u589e\u539a\u66f4\u6613\u53d1\u751f\u5b9e\u53d8\uff08p\u5747\u22640.05\uff09\u3002<\/p>\n

\u7ed3\u8bba\u548c\u8bc4\u8bba\uff1a<\/strong>B\u578b\u7ebf\u3001\u5b9e\u53d8\u548c\u80f8\u819c\u589e\u539a\u662fCOVID-19\u80ba\u708e\u7684\u5e38\u89c1\u8d85\u58f0\u8868\u73b0\uff0c\u80f8\u819c\u589e\u539a\u548c\u5b9e\u53d8\u53ef\u5206\u522b\u9884\u6d4b\u75be\u75c5\u7684\u4e25\u91cd\u7a0b\u5ea6\u548c\u75c5\u7a0b\u3002<\/p>\n

 <\/p>\n

\u5e38\u89c1\u7f29\u7565\u8bcd<\/strong><\/p>\n

US: Ultrasound\u8d85\u58f0
\nCEUS: Contrast-enhanced ultrasound\u8d85\u58f0\u9020\u5f71
\nHCC: Hepatocellular carcinoma\u809d\u7ec6\u80de\u764c
\nCT: Computed tomography\u8ba1\u7b97\u673a\u65ad\u5c42\u6444\u5f71\u672f
\nMRI: Magnetic resonance imaging\u78c1\u5171\u632f\u6210\u50cf<\/p>\n

 <\/p>\n

Translated by: Jie Zhu<\/p>\n

Translation Revised by: Bing Hu<\/p>\n","protected":false},"excerpt":{"rendered":"\u8179\u90e8\u5f71\u50cf   \u521d\u6b65\u7814 […]","protected":false},"author":3,"featured_media":3516,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_bbp_topic_count":0,"_bbp_reply_count":0,"_bbp_total_topic_count":0,"_bbp_total_reply_count":0,"_bbp_voice_count":0,"_bbp_anonymous_reply_count":0,"_bbp_topic_count_hidden":0,"_bbp_reply_count_hidden":0,"_bbp_forum_subforum_count":0,"footnotes":""},"categories":[213],"tags":[],"class_list":["post-8609","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-213"],"yoast_head":"\nWhat's new in Ultrasonography (Chinese) - September 2020 - ACORE<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/staging-hub.acoredu.com\/whats-new-in-ultrasonography-september-2020\/\" \/>\n<meta property=\"og:locale\" content=\"zh_CN\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"What's new in Ultrasonography (Chinese) - 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