超声造影在肝硬化合并小肝癌中早期诊断价值.docVIP

超声造影在肝硬化合并小肝癌中早期诊断价值 　　[摘要] 目的 探讨超声造影在肝硬化合并小肝癌中的早期诊断价值。 方法 收集本院收治的经术后病理学诊断的80例肝硬化合并小肝癌患者的临床资料，将超声造影应用于患者的早期诊断之中。不同分化程度癌超声造影时间分析、增强CT与超声造影诊断率比较、造影前后超声诊断评分比较。 结果 （1）高分化癌与中-低分化癌在开始增强时间、增强峰值时间方面的差异均无统计学意义（P0.05），高分化癌开始消退时间显著高于中-低分化癌（P0.05）；（2）本研究中，运用增强CT检查的患者，诊断正确的有65例，诊断准确率为81.25%（65/80）；运用超声造影检查的患者，诊断正确的有74例，诊断准确率为92.50%（74/80）。增强CT检查诊断准确率显著低于超声造影诊断正确率（P0.05）；（3）本组80例患者造影后超声评分状况显著优于超声造影前（P0.05）。 结论 超声造影在肝硬化合并小肝癌中的早期诊断准确率较高，具有较高的临床应用价值。 　　[关键词]超声造影；肝硬化合并小肝癌；肝硬化再生结节；早期诊断价值 　　[中图分类号] R575.2；R735.7 [文献标识码] B [文章编号] 2095-0616（2017）15-132-03 　　[Abstract]Objective To investigate the value of contrast-enhanced ultrasonography in early diagnosis of liver cirrhosis combined with small hepatocellular carcinoma（HCC）. Methods The clinical data of 80 patients with liver cirrhosis complicated with small hepatocellular carcinoma after operation were collected， contrast-enhanced ultrasound was applied in patients with early diagnosis. The different degree of differentiation of cancer ultrasound contrast time was analyzed， The enhanced CT and contrast-enhanced ultrasound diagnosis rate were compared， and the ultrasonic diagnostic score before and after contrastwas compared. Results （1） The difference of high differentiation and moderate to low differentiation cancer in the beginning of enhanced time and enhanced peak time were not statistically significant （P0.05）. The high differentiation began to subside time was significantly higher than in low differentiation cancer （P0.05）. （2） In this study， patients with enhanced CT were diagnosed correctly with a diagnosis of accuracy of 81.25% （65/80） in all cases. There were 74 cases diagnosed correctly by contrast-enhanced ultrasound， the diagnostic accuracy was 92.50% （74/80）. The diagnostic accuracy of contrast-enhanced CT was significantly lower than that of contrast-enhanced ultrasonography （P0.05）. （3） The ultrasound score of the patients after angiography in this group was significantly better than that of before contrast-enhanced