乙型肝炎相关性混合型肝癌与乙型肝炎相关性肝细胞癌CEUS表现比较

发布时间：2018-01-12 05:21

本文关键词：乙型肝炎相关性混合型肝癌与乙型肝炎相关性肝细胞癌CEUS表现比较　出处：《中国介入影像与治疗学》2017年08期 　论文类型：期刊论文

【摘要】：目的比较乙型肝炎相关性混合型肝癌(CHC)与乙型肝炎相关性肝细胞癌(HCC)的CEUS表现。方法收集经病理确诊的乙型肝炎相关性CHC患者31例及乙型肝炎相关性HCC患者31例,比较其CEUS表现。结果乙型肝炎相关性CHC及乙型肝炎相关性HCC患者均以动脉期高增强,门静脉期/延迟期消退为低增强为主,两者间各期增强水平的差异均无统计学意义(P均0.05)。病灶最大径≤3.0cm时,乙型肝炎相关性CHC与乙型肝炎相关性HCC多为均匀增强(P=1.000);病灶最大径3.0cm,乙型肝炎相关性CHC以不均匀增强或周边不规则带状增强为主,而乙型肝炎相关性HCC以不均匀增强为主,差异有统计学意义(P=0.001)。结论病灶3.0cm时,乙型肝炎相关性CHC的增强模式具有相对特征性。
[Abstract]:Objective to compare hepatitis B associated mixed hepatocellular carcinoma (CHCC) with hepatitis B associated hepatocellular carcinoma (HCC). Methods 31 cases of hepatitis B associated CHC and 31 cases of hepatitis B associated HCC were collected. Results the high enhancement of arterial phase and the low enhancement of portal vein / delayed phase in patients with hepatitis B related CHC and hepatitis B related HCC were compared. There was no significant difference in enhancement level between the two groups (P < 0.05). When the maximum diameter of the lesion was less than 3.0 cm, there was no significant difference between the two groups. Hepatitis B related CHC and hepatitis B related HCC were homogeneously enhanced. The maximum diameter of the lesion was 3.0 cm. The enhancement of hepatitis B related CHC was uneven or irregular band enhancement, while that of hepatitis B related HCC was uneven enhancement. Conclusion the enhancement pattern of hepatitis B related CHC is relatively characteristic when the lesion is 3.0 cm.
【作者单位】：中山大学附属第一医院超声医学科中山大学超声诊断与介入超声研究所;
【基金】：国家自然科学基金(81501493) 广东省科技计划项目(2013B021800124)
【分类号】：R445.1;R512.62;R735.7
【正文快照】： 混合型肝癌(combined hepatocellular-cholangio-carcinoma,CHC)是原发性肝癌的一种少见类型[1-2],易发生门静脉侵犯及淋巴结转移[3],术前正确诊断CHC对选择治疗方案有重要意义[4]。目前,CEUS已广泛应用于肝脏局灶性病变的诊断[5],但关于CHCCEUS表现的研究[6]鲜见。由于临床对

【参考文献】