彩色多普勒超声在原发性肝癌与肝血管瘤鉴别诊断中的价值.docVIP

彩色多普勒超声在原发性肝癌与肝血管瘤鉴别诊断中的价值 [摘要] 目的 探讨彩色多普勒超声在原发性肝癌与肝血管瘤鉴别诊断中的价值。 方法 回顾性分析原发性肝癌患者25例（观察组）和肝血管瘤患者34例（对照组）资料。两组患者均接受肝脏二维及彩色多普勒超声检查，观察两组肿块直径、形态、回声及与周围组织关系及血流信号，同时观察肝固有动脉及门静脉血流情况，比较观察指标与疾病之间的联系。 结果 观察组25例患者可见65个肝脏肿块，二维超声表现为形态不规则，边缘不清晰，内部回声不均匀，可见占位效应；对照组34例患者可见89个肝脏肿块，二维超声表现为形态规则，边缘清晰，内部回声均匀，一般无占位效应；两组上述指标差异有统计学意义（χ2 55.96、9.01、5.20、81.69，P 0.05或P 0.01）。观察组彩色多普勒超声表现为周边及内部可见丰富血流信号，而对照组彩色多普勒超声表现为周边及内部血流信号不丰富。观察组患者的肝固有动脉峰值流速、最小流速[（98.75±18.64）cm/s、（31.05±9.97）cm/s、]均明显高于对照组[（69.89±17.58）cm/s、（25.69±7.54）cm/s]，差异有统计学意义（t 3.48、2.36，P 0.05或P 0.01），门静脉血流流速[（11.98±3.78）cm/s]低于对照组[（14.43±4.11）cm/s]，差异有统计学意义（t 2.34，P 0.05）。 结论 采用彩色多普勒超声可以有效鉴别原发性肝癌与肝血管瘤，为临床的诊断及治疗提供重要依据。 [关键词] 原发性肝癌；肝血管瘤；彩色多普勒超声；鉴别 [中图分类号] R735.7 [文献标识码] A [文章编号] 1673-7210（2014）10（a）-0072-04 Differential diagnosis value of color Doppler ultrasound on primary liver cancer and hepatic hemangioma ZHU Xiabei JI Jiansong Department of Special Clinical Laboratory， Center Hospital of Lishui City， Zhejiang Province， Lishui 323000， China [Abstract] Objective To discuss the differential diagnosis value of color Doppler ultrasound on primary liver cancer （PLC） and hepatic hemangioma （HCH）. Methods Clinical data of 25 cases of patients with PLC （observation group） and 34 cases of patients with HCH （control group） were retrospectively analyzed. The patients in the two groups were given two-dimensional and Doppler ultrasound examination on liver. The size， shape， and echo of lump and its relationship with surrounding tissues and blood flow signals were observed， and meanwhile， the blood flow volume of proper hepatic arteria and portal vein were observed， the relationship between observation index and disease were compared and observed. Results 65 liver masses appeared in 25 cases of patients in the observation group， which showed irregular form， unclear border， heterogeneous internal echo and mass effect under two-dimensional ultrasound； 89 liver masses appeared in 34 cases of patients in control group， which showed regu