摘要
目的探讨超声造影技术对小肝癌的临床价值,为临床工作提供参考依据。方法回顾性分析2011年10月至2012年9月间收治的75例经病理证实的小肝癌患者临床资料,包括常规超声、超声造影及病理资料。结果病理诊断结果显示,75例患者中,中-低分化癌42例,高分化癌23例,透明细胞癌10例。常规超声提示,恶性和可疑恶性38例,小肝癌的诊断符合率为50.7%(38/75);超声造影后提示恶性和可疑恶性69例,小肝癌的诊断符合率为92.0%(69/75)。超声造影诊断符合率显著高于常规超声,差异有统计学意义(χ2=27.5847,P<0.01)。结论超声造影技术对小肝癌的诊断符合率高于常规超声,对小肝癌具有更高的定性诊断价值,值得临床借鉴。
Objective To evaluate the clinical value of contrast-enhanced ultrasound technique for small hepatocellular carcinoma,and to provide reference for clinical work.Methods From October 2011 to September 2012 in our hospital,the clinical data of 75 patients with small hepatocellular carcinoma confirmed by pathology were retrospectively analyzed,included the clinical data of ultrasound,contrast-enhanced ultrasound and pathological.Results The pathological examinations demonstrated that in 75 cases, 42 cases of middle and low differentiation carcinoma,23 cases of high differentiation carcinoma,10 cases of clear cell carcinoma;the ultrasound examinations demonstrated that 38 cases of malignant and suspicious for malignancy,the diagnose accordance rate of ultrasound to small hepatocellular carcinoma was 50.7%（38 / 75）;the contrast-enhanced ultrasound examinations demonstrated that 69 cases of malignant and suspicious for malignancy,the diagnose accordance rate of contrast-enhanced ultrasound to small hepatocellular carcinoma was 92.0%（69 /75）;the diagnose accordance rate of contrast-enhanced ultrasound was significantly higher than that of conventional ultrasound,the difference was statistically significant（χ2 = 27.5847,P 0.01）.Conclusions The diagnose accordance rate of contrast-enhanced ultrasound to small hepatocellular carcinoma was significantly higher than conventional ultrasound,it has higher qualitative diagnostic value, worthy of clinical reference.
出处
《中国肿瘤临床与康复》
2013年第5期440-442,共3页
Chinese Journal of Clinical Oncology and Rehabilitation
关键词
肝肿瘤
超声检查
病理学
Liver neoplasms Ultrasonography Pathology
