摘要
目的探讨原发性肝癌与肝嗜铬细胞瘤的B超影像学特点及差异性。方法选取经手术病理证实的原发性肝癌患者43例、肝嗜铬细胞瘤患者37例,所有患者均进行B超检查分析B超声图像特征,以病理检查为标准,比较原发性肝癌与肝嗜铬细胞瘤的影像学差异及诊断率。结果 B超检查出原发性肝癌患者36例,肝嗜铬细胞癌患者26例,检出率分别为83.7%、70.3%,两者比较,χ^2=8.121,P〈0.05;B超检查对原发性肝癌和肝嗜铬细胞癌的检出符合率比较χ^2=7.583,P〈0.05,其对原发性肝癌的诊断准确率高于肝嗜铬肿瘤。结论虽然B超检查对原发性肝癌的诊断率高于肝嗜铬细胞瘤,但是B超对这两种疾病的诊断均有一定的局限性,应结合多项影像学检查手段及临床病史等资料进行综合诊断,进一步提高诊断准确率。
Objective To investigate the characteristics and differences of ultrasonic imaging in primary liver cancer and liver pheochromocytoma. Methods 43 cases of primary liver cancer and 37 cases of liver pheochromocytoma were diagnosed by B-scan ultrasonic examination. The pathological examination was the standard. Ultrasonic image characteristics,comparison of imaging difference and diagnostic rates of primary liver cancer and liver pheochromocytoma were observed and analyzed. Results 36 patients with primary liver cancer and 26 patients with liver cancer were examined by B ultrasound. The detection rates were83. 7% and 70. 3% respectively（ χ^2= 8. 121,P〈0. 05）. Comparison of the coincidence rate of ultrasound examination for primary hepatocellular carcinoma and hepatocellular carcinoma was χ^2= 7. 583,P〈0. 05. The diagnostic accuracy was higher than that of liver pheochromocytoma. Conclusion Although the diagnosis of primary liver cancer is higher than that of the liver,but the diagnosis of the 2 diseases is limited,and combined with a number of imaging examination,clinical history and other information can make a comprehensive diagnosis,it can further improve the accuracy of diagnosis.
出处
《实用癌症杂志》
2016年第7期1114-1116,共3页
The Practical Journal of Cancer
关键词
肺结核
肺癌
诊断
Tuberculosis
Lung cancer
Diagnosis
