摘要
目的:探讨超声造影对原发性肝癌的诊断价值。方法:选取2010-03-01-2012-03-30解放军第208医院收治的31例原发性肝癌患者,回顾性分析31例原发性肝癌患者行超声造影检查的临床资料。结果:78.6%(22/28)肝细胞肝癌表现为"快进快出"的造影模式,且肿瘤分化程度越低,"快进快出"的表现越明显;3例肝内胆管细胞癌均表现为"快进快出",主要表现为动脉期病灶呈周边环状不规则高增强,内部呈现网格样高增强或无增强。门脉期增强消退。常规超声与超声造影对原发性肝癌诊断的敏感性分别为72.4%和93.5%,差异有统计学意义,χ2=6.125,P=0.013。结论:原发性肝癌的超声造影动态模式有显著特征,超声造影可提高原发性肝癌的诊断率。
OBJECTIVE：To discuss the diagnosis value of CEUS in primary liver carcinoma. METHODS：Thirty-one cases of primary liver cancer patients were selected during 2010-03--2012-03 in the No. 208 hospital of China PLA,and their clinical data and CEUS examination were retrospectively analyzed. RESULTS： Totally 22 （78. 6%） of HCC were ＂fast-in and fast-out＂, which was much obviously observed in poorly differentiated cases. The enhancement pattern presented ＂fast-in and fast-out＂;Three （100.0 %） of ICC were ＂fast-in and fast-out＂. Rim-like hyperechoic enhancement in the arterial phase was found with net-shaped hyperechoic enhancement interior or without centripetal filling in. Hypoechoic enhancement was observed in portal phase. The sensitivities of conventional ultrasound and CEUS were 72. 4% and 93.5 %, and there was a statistically difference （X2 = 6. 125, P = 0.013 ）. CONCLUSION： CEUS dynamic model of primary liver carcinoma has significant characteristics, contrast-enhanced ultrasound can increase the diagnostic rate of primary liver cancer.
出处
《中华肿瘤防治杂志》
CAS
北大核心
2014年第9期698-700,共3页
Chinese Journal of Cancer Prevention and Treatment
关键词
肝肿瘤
超声造影
诊断
回顾性研究、
liver neoplasms
contrast-enhanced ultrasound
diagnosis
retrospective studies
