超声造影在肝细胞癌和肝局灶性结节增生鉴别诊断中的应用价值

发布时间：2018-06-30 11:20

本文选题：肝细胞癌 + 肝局灶性结节增生　；参考：《中国老年学杂志》2016年01期

【摘要】：目的探讨超声造影在肝细胞癌(HCC)和肝局灶性结节增生(FNH)鉴别诊断中的应用价值。方法收集该院肿瘤科2012年6月至2015年1月收治的35例HCC患者和30例FNH患者,分别应用超声检查,比较两组超声检查定量参数和评价超声鉴别诊断价值。结果超声检查HCC的注入造影剂到最大峰值强度增高1/2时间(RT)短于FNH的超声结果,从开始增强到造影剂聚集最大时所需时间(TTP)、造影剂平均通过时间(MTT)、峰值强度(PI)均长于FNH的超声结果(均P0.05);超声诊断HCC灵敏度、特异度、一致率、阳性预测值、阴性预测值分别为94.29%、83.33%、89.23%、86.84%、92.59%,对FNH分别为83.33%、94.29%、89.23%、92.59%、86.84%,差异均无统计学意义(P0.05)。结论超声造影在HCC和FNH鉴别诊断中具有重要临床价值,均具有较高灵敏度和特异度,值得临床推荐。
[Abstract]:Objective to evaluate the value of contrast-enhanced ultrasonography in differential diagnosis of hepatocellular carcinoma (HCC) and focal nodular hyperplasia (FNH). Methods from June 2012 to January 2015, 35 patients with HCC and 30 patients with FNH were examined by ultrasound. The quantitative parameters of ultrasound examination and the value of ultrasonic differential diagnosis were compared between the two groups. Results Ultrasound examination of HCC showed that the maximum peak intensity increased by 1 / 2 time (RT) less than that of FNH. The mean transit time (MTT) and peak intensity (Pi) of contrast media were longer than those of FNH (P0.05), the sensitivity, specificity, consistency rate, positive predictive value of HCC were higher than those of FNH (P 0.05), while the mean transit time (MTT) and peak intensity (Pi) of contrast agent were higher than that of FNH (P0.05), the sensitivity, specificity, consistency rate and positive predictive value of HCC were higher than those of FNH. The negative predictive value was 94.290.83.33 and 86.842.59, respectively, and the FNH was 83.330.94.29and 89.232.599.The difference was not statistically significant (P0.05). Conclusion Contrast-enhanced ultrasonography has important clinical value in the differential diagnosis of HCC and FNH, and has high sensitivity and specificity, which is worthy of clinical recommendation.
【作者单位】：湖北省中山医院超声影像科;
【分类号】：R735.7;R445.1

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