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实时三维超声造影技术对肝癌术前T分期的诊断效能

Diagnostic efficacy of real-time 3-dimensional contrast-enhanced ultrasound in preoperative T-staging of hepatocellular carcinomar
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摘要 目的分析实时三维超声造影技术(RT-3D-CEUS)对肝癌术前T分期的诊断效能。方法回顾性分析在我院实施手术治疗的66例肝癌患者的临床资料,患者均于术前实施超声造影(CEUS)及RT-3D-CEUS检查。以手术病理结果为金标准,分析实施RT-3D-CEUS对肝癌术前T分期的诊断效能。结果 RT-3D-CEUS中血流分级Ⅱ~Ⅲ级患者占比高于CEUS,强化特征为快进快出患者占比高于CEUS(P<0.05)。RT-3D-CEUS对术前肝癌T分期的诊断总符合率高于CEUS(P<0.05)。结论 RT-3D-CEUS能为肝癌术前病理分期的判断提供更丰富的信息,与CEUS比较,其对肝癌术前T分期的诊断符合率。 Objective To analyze the diagnostic efficacy of real-time 3-dimensional contrast-enhanced ultrasound (RT- 3D-CEUS) in preoperative T -staging of hepatocellular carcinomar. Methods The clinical data of 66 patients with hepatocellular carcinomar who underwent surgical treatment in our hospital were retrospectively analyzed. All patients underwent CEUS and RT-3D-CEUS before operation. The surgical pathological results were set as the gold standard and the diagnostic efficacy of RT-3D-CEUS in preoperative T-staging of hepatocellular carcinomar were analyzed. Results The proportion of patients with grade 域-芋blood flow in RT-3D-CEUS was higher than that in CEUS, and the proportion of patients with enhanced features of fast-in and fast-out was higher than that in CEUS (P<0.05). The total diagnosis coincidence rate of RT-3D-CEUS in the diagnosis of preoperative T-staging of hepatocellular carcinoma was higher than that of CEUS (P<0.05). Conclusion RT-3D-CEUS can provide more abundant information for judging the preoperative pathological staging of hepatocellular carcinoma. Compared with CEUS, RT-3D-CEUS has a higher coincidence rate in the diagnosis of preoperative T staging of hepatocellular carcinomar.
作者 张慧 杨继 李令民 ZHANG Hui;YANG Ji;LI Ling-min(Xi'an No.4 Hospital, Xi'an 710000, China)
机构地区 西安市第四医院
出处 《临床医学研究与实践》 2019年第24期153-154,共2页 Clinical Research and Practice
关键词 实时三维超声造影技术 肝癌 诊断效能 real-time 3-dimensional contrast-enhanced ultrasound hepatocellular carcinomar diagnostic efficacy
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