摘要
目的分析B超对于原发性肝癌的的诊断意义。方法回顾性分析经我院自2009年1月至2011年10月收治经手术病理证实的50例原发性肝癌患者的临床资料,对比分析B超和血清AFP诊断原发性肝癌的价值。结果原发性肝癌AFP诊断的符合率为66%;B超检查诊断的符合率为92%,两者比较差异具有统计学意义(P<0.05)。AFP检查假阴性率为34%;B超检查,假阴性率为8%,两者比较差异具有统计学意义(P<0.05)。两种方法的准确性、敏感性、特异性比较均无统计学意义(P>0.05)结论 B超检查简便、经济、无创,不但可以作为高危人群中的肝癌的普查、筛选的主要手段之一,并且可以作为肝癌诊断的首选检查方式。值得临床推广应用。
Objective To analysis of B ultrasound for hepatocellular carcinoma and its significance in the diagnosis. Methods A retrospective analysis of our hospital from 2009 January through 2011 October were proved by operation and pathology in 50 cases of primary liver cancer patients with the clinical data, comparative analysis of B ultrasound and serum AFP in diagnosis of primary hepatocellular carcinoma value. Results Primary hepatocellular carcinoma AFP diagnosis coincidence rate was 66%; B ultrasound examination in the diagnosis of the coincidence rate is 92%, both with significant difference (P〈O.05). AFP false-negative rate of 34%; B ultrasound examination, the false negative rate was 8%, both with significant difference (P〈0.05). The accuracy of two methods, the sensitivity, specificity, there was no statistical significance (P〉0.05) .Conclusion B ultrasound examination is simple, economic, not only can be used as a noninvasive, high-risk population of liver cancer screening, screening is one of the main methods, and can be used as the preferred way of checking diagnosis of hepatocellular carcinoma. It is worthy of clinical application.
出处
《中国医药指南》
2012年第16期33-34,共2页
Guide of China Medicine
关键词
B超
原发性肝癌
诊断
研究
B ultrasound
Primary liver cancer
Diagnosis
Research