摘要
【目的】评价术中超声在肝硬化并发肝癌手术中的价值。【方法】运用经腹壁及术中超声(Intraop-erative ultrasonography,IOUS)检查,对92例肝癌患者,148个肿瘤结节进行术前及术中超声检查,并与术后病理结果对比分析。【结果】本组病例其术中超声诊断率97%(147/148)明显高于术前超声诊断率74%(110/148)(P<0.05)。其中肿瘤结节直径≤2 cm的小灶癌诊断率,术中超声为97%(47/48),显著高于术前超声检查46%(22/48)(P<0.01)。【结论】术中超声在细小病灶的显示与定位方面,明显优于术前超声检查,尤其是肝硬化患者,这对此类患者手术方式的确定及手术预后的评估有着重要的临床意义。
[Objective]To evaluate the value of intraoperative ultrasonography in the patients of hepatic cirrhosis complicated with carcinoma. [Methods] One hundred and forty eight tumors in 92 cases were detected by preoperative and intraoprative ultrasonography. The ultrasonic detection results were compared with the postoptive pathological results. [Results]The diagnostic rate of intraoprative ultrasonography was 97% （74/ 76） ,markedly higher than that of preopration （46%）（ P 〈0.05） . The diagnostic rate of intraoperative ultrasonography of the small tumors（diameter ≤ 2cm） was 97% （47/48） ,markedly higher than that of the preopratire ultrasonography （46 %）（ P〈0.01）. [Conclusion]The intraoprative ultrasonography has markedly higher detectable rate of the small lesions than preoperative ultrasonography ,so it has very high clinical value in making the operation scheme, locating the focus in patients of hepatic cirrhosis complicated with carcinoma.
出处
《医学临床研究》
CAS
2006年第2期168-170,共3页
Journal of Clinical Research
