超声与CT在诊断肝癌中的价值对比分析.docVIP

精品论文 参考文献 超声与CT在诊断肝癌中的价值对比分析 肖建华 　　（湖南省株洲市中心医院 湖南 株洲 412000） 　　【摘 要】目的：观察分析超声与CT在诊断肝癌中的价值。方法：以2011年1月-2015年1月在我院进行检查及治疗的确诊肝癌患者为研究对象，所研究分析的75例患者均经手术或病理活检确诊。所有患者均有超声检查及增强CT检查资料，比较分析超声与CT检查。结果：超声检查准确率88.00%(66/75)，其中定性诊断55例(83.33%)，报告肝内占位11例(16.67%)，漏诊率12.00%(9/75)。增强CT检查准确率92.00%(69/75)，其中定性诊断65例(94.20%)，报告肝内占位4例(5.80%)，漏诊率8.00%(6/75)。两种方式准确率比较差异无统计学意义(chi;2=0.667，P=0.414＞0.05)。75例患者经超声与CT检查定性诊断结果比较差异具有统计学意义(chi;2=4.167，P=0.041＜0.05)。而在确诊病例中所报告的占位病变比较，差异也具有统计学意义(chi;2=4.035，P=0.045＜0.05)。结论：超声与增强CT检查对肝癌的诊断准确率均较高且两种方法准确率相当，但CT定性诊断率相对较高。在临床中超声对筛查肝癌具有重要意义，结合实验室检查及增强CT检查能提高诊断的准确率。 　　【关键词】超声；CT；AFP；肝癌；价值 　　【中图分类号】R735.7 【文献标识码】B 【文章编号】1003-5028（2015）8-0645-02 　　XiaoJianHua 　　Zhuzhou Hunan City Center Hospital Zhuzhou Hunan 412000 　　【Abstract】Objective: To observe the value of ultrasound and CT in the diagnosis of liver cancer. Methods: 75 cases of patients with liver cancer who were examined and treated in our hospital from January 2011 to January were studied. All patients were examined with ultrasonography and enhanced CT, and compared with the CT test. Results: the accuracy rate of ultrasound was 88% (66/75), 55 cases (83.33%) were qualitative diagnosis, and 11 cases (16.67%) were reported in the liver, the missed diagnosis rate was 12% (9/75). The accuracy rate of CT was 92% (69/75), 65 cases (94.20%) were qualitative diagnosis, 4 cases (5.80%) were reported in the liver, and the missed diagnosis rate was 8% (6/75). Two accurate rate had no significant difference (x 2=0.667, P=0.414 gt; 0.05). 75 patients were treated by ultrasound and CT diagnosis results were statistically significant (2=4.167, P=0.041 lt; 0.05). The report of diagnosed lesions in the comparison, the difference was statistically significant (2=4.035, P=0.045 lt; 0.05). Conclusion: the diagnostic accuracy of ultrasound and enhanced CT in diagnosis of liver cancer were higher and the accuracy of the two methods is quite different, but the qualitative diagnosis rate of CT was relatively