摘要
目的观察肿块血流分布与血流参数,评价彩色多普勒对肝脏原发性肿瘤与转移肿瘤的诊断价值。方法 原发性肝癌22例,转移癌65例,其中肝内转移15例,胃癌15例,肺癌13例,结肠癌9例,乳腺癌9例,胰腺癌4例,采用彩色多普勒检测肿块内部、肿块周边的血流分布、动脉峰值、阻力指数、门静脉血流速。结果原发性肝癌与各种转移至肝的癌肿块内部的血流分布有统计学差异(P<0.05),周边血流分布原发性肝癌与各种转移至肝的癌没有统计学差异(P>0.05)。肿块动脉峰值、阻力指数、门静脉血流速,原发性肝癌与各种转移至肝的癌有统计学差异(P<0.05,P<0.01)。结论色多普勒超声对鉴别原发性肝癌和各种转移至肝的癌有一定的价值。
Objective To observe diagnosis value of color doppler on tumor blood flow distribution and blood flow parameters of primary and metastasis liver cancer.Methods The blood flow distribution in intratumorand mass surrounding,the peak tumor artery,resistance index,portal blood flow were measured by color Doppler in 22 cases of primary liver cancer,metastatic cancer including liver metastasis in 15 cases,15 cases of gastric cancer,13 cases of lung cancer,9 cases of colon cancer,breast cancer in 9 cases,4 cases of pancreatic cancer.Results The blood flow distribution within tumor was statistical difference between primary liver cancer and statistical difference（P ＆lt;0.05）,peripheral blood flow distribution was not statistically significant（P＆gt; 0.05）.Mass peak arterial resistance index,portal blood flow,hepatocellular carcinoma and liver metastases were significantly different（P ＆lt;0.05,P ＆lt;0.01）.Conclusion The blood flow distribution and flow parameters have significant differences in primary liver cancer and metastatic cancer measured by color Doppler ultrasonography,which can show that color doppler ultrasound have a certain value for diagnosing hepatocellular carcinoma and liver metastases.
出处
《江西医药》
CAS
2012年第2期97-98,101,共3页
Jiangxi Medical Journal
关键词
彩色多普勒超声
肝癌
血流分布
血流参数
Color doppler ultrasound
Liver cancer
Blood flow distribution
Flow parameters
