超声造影诊断原发性肝癌应用探讨.docVIP

超声造影诊断原发性肝癌应用探讨 　　[摘要] 目的：应用超声造影技术观察原发性肝癌的特征，评价其在临床诊断中的应用价值。方法：对我院45例经确诊的原发性肝癌患者的病灶进行超声造影，观察病灶的部位、数目、大小、声像图特征，并对造影前后血流分级及正确率等进行分析。结果：所有病灶在超声造影下均可见，显示的病灶数目多于常规超声，超声造影后动脉相病灶血流级别较造影前有明显提高，超声造影的诊断正确率也明显高于常规超声，以上差异均有统计学意义（P＜0.05）。结论：超声造影技术能大大提高肝脏良恶性肿瘤的诊断与鉴别诊断，为临床治疗提供重要参考资料，值得临床推广。 　　[关键词] 超声检查；造影剂；原发性肝癌 　　[中图分类号] R445[文献标识码]B [文章编号]1673-7210（2007）12（c）-167-02 　　 　　Discussion of ultrasound contrast diagnosis hepatocellular carcinoma application 　　YANG Shao-peng1,WU Ling-ying1,ZHAO Yu-jing1,CHENG Xin-jing2 　　(1. First Peoples Hospital of Jingdezhen City, Jingdezhen 333000,China;2.Jiangsu University,Zhenjiang 212013,China) 　　[Abstract] Objective:To observed primary liver cancer characteristics by using ultrasound technology and evaluate its diagnostic clinical value.Methods:Our hospital 45 cases of confirmed patients with primary liver cancer lesions were taken to ultrasound contrast,observed lesions of the location, number,size,imaging characteristics,and analyzed before and after contrast flow classification and correct rate.Results:All the lesions were seen under ultrasound contrast. The number of lesions was more than conventional ultrasound,and ultrasound contrast the flow classification levels were improved markedly,ultrasound contrast correct rate was higher than that of conventional ultrasound.These differences were statistically significant(P0.05).Conclusion:Ultrasound contrast technology can greatly enhance the liver-cancer diagnosis and differential diagnosis,and provide important reference for the clinical treatment, worthy of promotion. 　　[Key words] Ultrasonography；Contrast media；Primary liver cancer 　　 　　原发性肝癌是我国常见的恶性肿瘤之一，是指原发于肝内的上皮恶性肿瘤，包括肝细胞癌( hepatocellular carcinoma，HCC) 和肝内胆管细胞癌(intrahepatic cholangiocarcinoma，ICC)。因其早期缺乏典型症状，一旦发现多属中晚期，所以明确诊断是提高肝癌患者生存率的关键。随着微泡造影剂的出现及超声成像技术的迅速发展，超声造影(contrast-enhanced ultrasonograghy，CEUS)技术日趋成熟，超声造影通过动态观察造影剂对组织的强化过程，可有效地反映病变组织的血流动力学变化[1]。本研究应用超声造影技术分析我院45例原发性肝癌患者的特征，现报道如下： 　　 　　1 资料与方法 　　 　　1.1 一般资料 　　45例