摘要
目的探讨在肝脏局灶性良恶性肿瘤鉴别诊断中超声造影技术的应用价值。方法回顾性分析91例接受超声造影检查的肝脏肿瘤患者93个病灶的临床诊断资料,对肝脏不同病变的超声造影表现情况进行比较。结果在本次研究中,共有89个超声造影结果准确,诊断率为95.7%。在93个肝脏肿瘤病灶中,有78个恶性肿瘤病灶,有15个良性肿瘤病灶。超声造影回声增强程度、增强均匀度、消退快慢和增强快慢在肝脏良恶性肿瘤中存在统计学差异(P<0.05)。在本次研究中,有肝转移癌(metastatic liver carcinoma,MLC)病灶26个,有肝细胞癌(hepato cellular carcinoma,HCC)病灶52个,HCC和MLC在超声造影增强程度和增强均匀度上差异明显(P<0.05),在增强快慢和消退快慢上无明显差异(P>0.05)。结论在肝脏良恶性肿瘤的鉴别中超声造影有很重要的应用价值。
Objective To study the value of contrast-enhanced ultreasonography in the differential diagnosis of benign and malignancy tumors of focal liver. Methods Retrospective analysis of clinical diagnosis materials of 93 focal lesions in 91 patients of with liver cancer were conducted,ultrasonic imaging of liver lesions in different situation were compared. Results After contrast-enhanced ultrasound diagnosis to all lesions,89 lesions with contrast-enhanced ultrasound results satisfied,diagnostic rate was 95. 7%. In 93 liver cancer lesions,there were 78 malignant lesions and 15 benign lesions,there were significant differences in contrast-enhanced ultrasound echo enhancement degree,enhance evenness,subside speed and increase speed between benign and malignant tumors of the liver（ P〈0. 05）. In this study,hepatocellular carcinoma（ HCC） and liver metastatic carcinoma（ MLC）were respectively 52 lesions and 26 lesions,there had significant differences in contrast-enhanced ultrasound enhancement degree and enhance uniformity between HCC and MLC（ P〈0. 05）,there had no significant differences in subside speed and increase speed（ P〉0. 05）. Conclusion Contrast-enhanced ultrasound has important value in the identification of benign and malignant liver tumors.
出处
《实用癌症杂志》
2016年第6期994-996,共3页
The Practical Journal of Cancer
关键词
肝脏肿瘤
良恶性肿瘤
超声造影检查
Liver tumor
Benign and malignant tumor
Contrast-enhanced ultrasound inspection
