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超声多普勒对肝脏占位病变定性诊断价值的探讨

Evaluation of Doppler US in Qualitive Diagnosis of Liver Space-occupying Lesions
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摘要 本文通过对84例肝癌、16例肝海绵状血管瘤、3例肝炎性假瘤的超声多普勒检查并和血管造影结果对照,提出彩超及脉冲多普勒诊断肝癌的特异性指标:周边彩色血流篮状包绕征;病变内部多分支异常血流;脉冲血流频谱高于100cm/s,连续型频谱高于30cm/s;肝总动脉血流量大于700ml/min。描述了肝血管瘤的异常彩色血流特点:纤细、分支少、走行自然、由周边直接进入病变包膜下、流速低,均小于10cm/s。 Dopplex Doppler and color Doppler flow imaging were used to detect blood flow of tumors and common hepatic arteries in 103 patients, including 84 primary hepatic carcinomas,16 hepatic hemangiomas and 3 inflammatory pseudocarcinomas.We found that follow significant characteristics only appeared in primary hepatic carcinomas, including: abnormal blood flow surrounding the tumor nodules called ″basket pattern″,many branchs blood flow within the tumor nodules.The velocity of those abnormal blood flow was higher than 100 cm/s in pulsative wave and 30 cm/s in high continuous wave. Blood flow volume in common hepatic arteries was higher than 700 ml/min. In contrast, there were no those characteristics in hemangiomas and inflammatory pseudocarcinomas.
出处 《中国医学影像学杂志》 CSCD 1994年第1期47-50,共4页 Chinese Journal of Medical Imaging
关键词 超声多普勒 肝脏占位病变 定性诊断 肝血管瘤 hepatic carcinoma hepatic artery Doppler ultrasound diagnosis hepatic hemangioma
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