本文選題：原發(fā)性肝癌 + 肝細(xì)胞性肝癌��； 參考：《山東醫(yī)藥》2017年24期

【摘要】：目的回顧性分析72例老年原發(fā)性肝癌患者的病灶超聲造影特點(diǎn),為提交肝癌的早期診斷率提供依據(jù)。方法選擇72例老年肝癌患者(72個(gè)病灶),其中肝細(xì)胞性肝癌(HCC)64例、肝內(nèi)膽管細(xì)胞癌(ICC)8例,入院后均進(jìn)行肝臟超聲造影檢查,觀察不同直徑病灶的超聲造影模式,不同分化程度病灶的開始增強(qiáng)時(shí)間、達(dá)峰時(shí)間、消退時(shí)間,不同分化程度病灶門脈相、延遲相、動(dòng)脈相的增強(qiáng)強(qiáng)度。結(jié)果 72個(gè)病灶中超聲造影模式為快進(jìn)快出51個(gè)(70.83%)、快進(jìn)慢出10個(gè)(13.89%)、快進(jìn)同出5個(gè)(6.94%)、快進(jìn)不出1個(gè)(1.39%)、慢進(jìn)快出3個(gè)(4.17%)、慢進(jìn)慢出2個(gè)(2.78%)。腫瘤直徑≥6 cm病灶表現(xiàn)為快進(jìn)快出模式的比例高于2~6 cm和≤2 cm病灶,快進(jìn)慢出模式的比例低于2~6 cm和≤2 cm病灶;腫瘤直徑≥6 cm病灶和2~6 cm病灶表現(xiàn)為慢進(jìn)快出模式的比例高于≤2 cm病灶,快進(jìn)同出和快進(jìn)不出模式的比例低于≤2 cm;組間比較P均0.05。三種不同直徑病灶表現(xiàn)為慢進(jìn)慢出模式的比例比較差異均無統(tǒng)計(jì)學(xué)意義(P均0.05)。低分化病灶消退時(shí)間短于中、高分化病灶,中分化病灶短于高分化病灶,組間比較P均0.05;不同分化程度病灶間開始增強(qiáng)時(shí)間、達(dá)峰時(shí)間比較差異均無統(tǒng)計(jì)學(xué)意義(P均0.05)。高分化病灶門脈相和延遲相的高增強(qiáng)比例均高于中、低分化病灶(P均0.05)。超聲造影診斷HCC 62例,誤診為肝血管瘤1例、轉(zhuǎn)移性肝癌1例,正確診斷率為96.88%;診斷ICC 8例,正確診斷率為100.00%。結(jié)論原發(fā)性肝癌患者腫瘤病灶超聲造影表現(xiàn)以快進(jìn)快出模式為主,尤其是腫瘤直徑≥6 cm病灶正確診斷率較高。
[Abstract]:Objective to analyze the features of contrast-enhanced ultrasonography in 72 elderly patients with primary liver cancer (PHC) and to provide evidence for the early diagnosis of HCC.Methods Seventy-two elderly patients with hepatocellular carcinoma (72 lesions), including 64 cases of hepatocellular carcinoma (HCC) and 8 cases of intrahepatic cholangiocarcinoma (ICC), were selected.The enhancement time, peak time, extinction time, portal vein phase, delayed phase and arterial phase of the lesions with different degrees of differentiation were observed.Results among the 72 lesions, the mode of contrast-enhanced ultrasonography was fast in and out of 51, fast in and out of 51.883, 10 in and out of 13.89, 5 in and out of 6.94, one in and out of 1.39, three in and out of 4.17, and two in and out of 2.78.The proportion of lesions with diameter 鈮，

本文編號(hào)：1756509