摘要
目的 对比研究了 17例肝癌和 47例肝泡球蚴肿块的声像图表现 ,探讨了两者的鉴别要点 ,旨在提高对两者的鉴别诊断。方法 对比分析了两组 64例经手术病理、穿刺活检证实和CT、MRI检查及血清AFP、Em2 免疫试验阳性者的声像图资料。结果 肝泡球蚴具有肿块巨大坚硬、呈分叶状、表面不平、边缘模糊、内无血流、回声不均、地图样征、砂样钙化、中心坏死、增大缓慢等 12种声像图特征 ,这些特征是与肝癌肿块相鉴别的要点。结论 探讨的 12种声像图对肝癌与肝泡球蚴实质性肿块的鉴别诊断颇有帮助。
Objective To compare and study the identification points of ultrasonographic characteristics of 17 cases with hepatic cancer and 47 cases with hepatic hydatidosis. Methods The ultrasonographic data of two groups confirmed by operation, pathology, CT, MRI and positive serum Em 2 specific antigen were analysed. Results According to the sonograms, they were classified into solid mass type, mass with colliquation type and mass with calcification type. The neoplastic sonograms showed lobulated sign, enormous solid, rough surface with unclear edges, no blood signal, geographical map pattern. Scattered calcification, central liquefaction and slow growth etc. 12 types ultrasonographic characteristics are identification points between hepatic cancer and hepatic hydatidosis. Conclusion The identification points are helpful for differentiating diagnosis.
出处
《中国医学影像技术》
CSCD
2003年第12期1685-1686,共2页
Chinese Journal of Medical Imaging Technology
关键词
肝癌
肝泡球蚴病肿块
声像图鉴别
诊断
Hepatic cancer
Hepatic alveolar hydatidosis
Ultrasonographic identification
