摘要
目的研究分析对肝硬化合并小肝癌患者施予超声造影的诊断效果及价值。方法回顾性分析该院2015年2月—2017年9月收治的92例肝硬化合并小肝癌患者的资料,全部患者都实施超声造影,观察其结果。结果总共94个肝脏病灶,其中,总共63个是中-低分化癌,总共31个是高分化癌。中-低分化癌在动脉期及实质期中主要表现是迅速增强、退出;高分化癌在动脉期及实质期中主要表现是迅速增强、慢慢退出。高分化癌的开始消退时间(244.40±26.60)s高于中-低分化癌(70.40±11.13)s(t=44.743 3,P=0.002 1)。超声造影的正确率96.81%大于普通CT 67.02%及增强CT 76.60%(P<0.05)。结论超声造影运用到对肝硬化合并小肝癌患者实施诊断后,能够提升诊断的正确率,并能够作为协助对小肝癌实施诊断的高效方式,其正确性及灵敏性都较大,便利且安全,值得全方位推行与运用。
Objective To investigate the value and effect of ultrasonic contrast in the early diagnosis of cirrhosis combined with small liver cancer. Methods 92 cases of patients with cirrhosis combined with small liver cancer admitted and treated in our hospital from February 2015 to September 2017 were selected, all patients used the ultrasonic contrast, and the results were observed. Results There were 94 liver lesions in total, including 63 moderate-low differentiated cancer, 31 cases with high differentiated cancer, and the major performance of moderate-low differentiated cancer in the arterial phase and parenchymal phase was rapid enhancement and rapid withdrawing; and the major performance of high differentiated cancer in the arterial phase and parenchymal phase was rapid enhancement and slow withdrawing, and the subsidizing beginning time of the high differentiated cancer was higher than that of moderate-low differentiated cancer[(244.40±26.60)s vs (70.40±11.13)s](t=44.743 3, P=0.002 1), and the accurate rate of ultrasonic contrast was higher than that of conventional CT and enhanced CT (96.81% vs 67.02%, 76.60%)(P<0.05). Conclusion The ultrasonic contrast in the diagnosis of cirrhosis combined with small liver cancer can improve the diagnosis accurate rate, which can be used as an effective diagnosis way of small liver cancer, and the accuracy and sensitivity are higher, and it is simple and safe, and it is worth comprehensive promotion and application.
作者
姚元珠
YAO Yuan-zhu(Department of Ultrasound,Jining Infectious Disease Hospital,Jining,Shandong Province,272100 China)
出处
《系统医学》
2018年第22期102-104,共3页
Systems Medicine
关键词
肝硬化合并小肝癌
运用
超声造影
诊断
Cirrhosis combined with small liver cancer
Application
Ultrasonic contrast
Diagnosis
