72例老年原发性肝癌患者病灶超声造影特点分析

发布时间：2018-04-16 00:29

  本文选题：原发性肝癌 + 肝细胞性肝癌　； 参考：《山东医药》2017年24期

【摘要】：目的回顾性分析72例老年原发性肝癌患者的病灶超声造影特点,为提交肝癌的早期诊断率提供依据。方法选择72例老年肝癌患者(72个病灶),其中肝细胞性肝癌(HCC)64例、肝内胆管细胞癌(ICC)8例,入院后均进行肝脏超声造影检查,观察不同直径病灶的超声造影模式,不同分化程度病灶的开始增强时间、达峰时间、消退时间,不同分化程度病灶门脉相、延迟相、动脉相的增强强度。结果 72个病灶中超声造影模式为快进快出51个(70.83%)、快进慢出10个(13.89%)、快进同出5个(6.94%)、快进不出1个(1.39%)、慢进快出3个(4.17%)、慢进慢出2个(2.78%)。肿瘤直径≥6 cm病灶表现为快进快出模式的比例高于2~6 cm和≤2 cm病灶,快进慢出模式的比例低于2~6 cm和≤2 cm病灶;肿瘤直径≥6 cm病灶和2~6 cm病灶表现为慢进快出模式的比例高于≤2 cm病灶,快进同出和快进不出模式的比例低于≤2 cm;组间比较P均0.05。三种不同直径病灶表现为慢进慢出模式的比例比较差异均无统计学意义(P均0.05)。低分化病灶消退时间短于中、高分化病灶,中分化病灶短于高分化病灶,组间比较P均0.05;不同分化程度病灶间开始增强时间、达峰时间比较差异均无统计学意义(P均0.05)。高分化病灶门脉相和延迟相的高增强比例均高于中、低分化病灶(P均0.05)。超声造影诊断HCC 62例,误诊为肝血管瘤1例、转移性肝癌1例,正确诊断率为96.88%;诊断ICC 8例,正确诊断率为100.00%。结论原发性肝癌患者肿瘤病灶超声造影表现以快进快出模式为主,尤其是肿瘤直径≥6 cm病灶正确诊断率较高。
[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，

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