彩色多普勒超声和超声造影诊断小肝癌的临床应用价值.docxVIP

彩色多普勒超声和超声造影诊断小肝癌的临床应用价值 Clinical application value of color doppler ultrasonoscope and contrast-enhanced ultrasound in small hepatocellular carcinoma ZHANG Liping WANG Yongli LIU Yan WANG Beibei Department of Ultrasound， Luohe Central Hospital in He’nan Province， Luohe *****， China [Abstract] Objective To investigate the clinical value and significance of color doppler ultrasonoscope （CDFI） and contrast-enhanced ultrasound in the diagnosis of small hepatocellular carcinoma. Methods Thirty cases patients with small hepatocellular carcinoma were collected， which were confirmed by pathology， and ultrasonic audio-visual materials were analyzed. Results CDFI showed lesions surrounding Vmax （80.30±9.10） cm/s， RI （0.70±0.11）， 28 lesions （75.68%） could be detected arterial spectrum； internal lesions Vmax （58.17±8.24） cm/s， RI （0.72±0.13）， 32 lesions （86.49%） could be detected arterial spectrum. The contrast-enhanced ultrasound characteristics of small hepatocellular carcinoma were rapid enhancement in early artery period， rapid clearance in late artery period or early portal period， that were characterized by fast enhancement and clearance.The differences of contrast-enhanced ultrasound enhancement time and peak time in different pathological differentiation of small hepatocellular carcinoma were no statistically significant（P0.05）， but the differences of time to clarify were statistically significant（P0.05）. Conclusion CDFI and contrast-enhanced ultrasound of small hepatocellular carcinoma with special signs， contrast-enhanced ultrasound can preliminary evaluate the pathological degree of differentiation and improve the diagnostic correct rate， it is valuable for further clinical application. [Key words] Small hepatocellular carcinoma； 2-D ultrasound imaging scanner； Color doppler ultrasonoscope； Contrast-enhanced ultrasound 原发性肝癌是目前威胁人类健康最常见的恶性肿瘤之一，在世界死亡率居第三位，在我国死亡率占第二位，早期诊断和治疗是改善原发性肝癌预后的关键，并且近年来发病率呈逐渐上升趋势。常规超声是肝癌的主要检查方法之一，但是对小肝癌的检查具有一定的局限性。随着高分辨率