摘要
目的探讨肝动脉血流动力学变化在预测肝癌发生中的价值。方法120例患者依据病情分为肝硬化组62例,肝癌组58例。同时选取健康体检肝脏正常者50例为对照组。所有检查者空腹8 h以上,应用彩色超声仪检测3组患者的肝动脉血流动力学,包括肝动脉内径、流速、流量,并进行比较。结果对照组血流动力学与肝硬化组比较差异无统计学意义(P>0.05);小肝癌患者与肝硬化组肝动脉血流动力学比较有显著性差异(P<0.05);小肝癌与结节型肝癌肝动脉的血流动力学差异有统计学意义(P<0.05);结节型与块状型肝癌之间肝动脉的血流动力学差异有统计学意义(P<0.05);小肝癌与块状型肝癌之间肝动脉的血流动力学差异有统计学意义(P<0.05),并且肝动脉血流动力学与肿块的直径呈正相关。结论肝动脉过度供血支撑肝癌生长,在肝癌发生早期就有血流动力学的变化,可作为肝癌发生的危险信号之一预测肝癌的发生。
Objective To investigate the value of hepatic artery hemodynamies on forecasting hepatoma. Methods One hundred and twenty patients were divided into cirrhosis group （62 eases） and hepatoma group （58 eases ） basing on pathogenetie condition. And selecting 50 eases with normal liver as control group. All eases were fasting 8h at least. Hepatic artery hemodynamies,ineluding hepatic artery internal diameter, velocity and flow rate were deteeed by color doppler ultrasound. Results There was no difference in hepatic artery bemodynamies between control group and cirrhosis group （ P 〉 0.05 ）. There was obviously difference in bepatie artery hemodynamies between eirhosis group and mierohepatoma（ P 〈 0.05 ）. There was significantly difference in bepatie artery hemodynamies among mierohepatoma, massive hepatoma and tubercle hepatoma （ P 〈 0.05 ）. And there was positive correlation between hepatic artery hemodynamics and tumour diameter. Conclusion The hepatic artery over supply supports the growth of bepatie carcinoma. Accordingly,the eraly changes of bepatie artery hemodynamies can be used as a signal of the generate of hepatic carcinoma.
出处
《新乡医学院学报》
CAS
2008年第1期62-64,共3页
Journal of Xinxiang Medical University
