超声体检对早期发现无症状肝癌和小肝癌的临床诊断价值研究
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摘要
目的探讨超声体检对早期发现无症状肝癌和小肝癌的临床诊断价值。方法选取该院2016年9月—2018年7月收治的80例肝癌患者为研究对象,均经病理检查确诊,根据就诊时有无症状分为有症状组(n=27)和无症状组(n=53),选择彩色多普勒超声进行检查,对比有无症状组的诊断准确率和有无症状组的诊断准确率。结果 CT平扫检查肝癌检出率为76.25%(61/80);超声检查肝癌检出率为93.75%(75/80);CT增强扫描检查肝癌检出率为96.25%(77/80);CT增强扫描检查肝癌检出率稍高于超声检查,但差异无统计学意义(χ~2=0.386 6,P>0.05);超声和CT增强扫描检查肝癌检出率明显高于CT平扫,差异有统计学意义(χ~2=12.009 8、16.864 3,P<0.05)。有症状组:超声检查肝癌检出率明显高于CT平扫,差异有统计学意义(χ~2=20.410 0,P<0.05);无症状组:超声和CT增强扫描检查肝癌检出率明显高于CT平扫,差异有统计学意义(χ~2=20.014 3、9.810 4,P<0.05)。大肝癌组:三种检查方法肝癌检出率对比差异无统计学意义(χ~2=3.381 3、0.000 0、3.381 3,P>0.05);小肝癌组:超声和CT增强扫描肝癌检出率明显CT平扫,差异有统计学意义(χ~2=18.482 4、29.420 4,P<0.05)。结论在体检中应用超声检查能帮助发现小肝癌,超声检查是肝癌诊断的有效方法。
Objective To study the clinical diagnosis value of ultrasound physical examination in early discovery of asymptomatic liver cancer and small liver cancer. Methods 80 cases of liver cancer patients admitted and treated in our hospital from September 2016 to July 2018 were selected and all patients were confirmed by the pathological test,and the patients were divided into the symptom group with 27 cases and the non-symptom group with 53 cases, and the color Doppler ultrasound was used for examination, and the accuracy was compared. Results The liver cancer test rate by CT plain scanning, the ultrasound examination and by the CT enhanced scanning were respectively 76.25%( 61/80),93.75%( 75/80), 96.25%( 77/80), and the test rate of liver cancer examined by the CT enhanced scanning was slightly higher than that of ultrasound examination, but the difference was not obvious, without statistical significance(χ~2=0.3866, P>0.05); and the test rate of liver cancer by the ultrasound and CT enhanced scanning was obviously higher than that of CT plain scanning, and the difference was statistically significant(χ~2=12.009 8,16.864 3, P<0.05), and the test rate of liver cancer by the ultrasound examination was higher than that of CT plain scanning, in terms of symptom group, and the difference was statistically significant(χ~2=20.410 0, P<0.05); and the test rate of liver cancer by the ultrasound and CT enhanced scanning was obviously higher than that of CT plain scanning, and the difference was statistically significant(χ~2=20.014 3, 9.810 4, P<0.05), and the test rate of liver cancer of the three examination methods in the big liver cancer group was not obvious, without statistical significance(χ~2=3.381 3, 0.000 0, 3.381 3, P>0.05),and the test rate of liver cancer by the ultrasound and CT enhanced scanning in the small liver cancer group was obviously higher than that of CT plain scanning, and the differences were statistically significant(χ~2=18.482 4, 29.420 4,P <0.05). Conclusion The application of ultrasound examination in the physical examination can help discover the small liver cancer, and the ultrasound examination is an effective diagnosis way of liver cancer.
Objective To study the clinical diagnosis value of ultrasound physical examination in early discovery of asymptomatic liver cancer and small liver cancer. Methods 80 cases of liver cancer patients admitted and treated in our hospital from September 2016 to July 2018 were selected and all patients were confirmed by the pathological test,and the patients were divided into the symptom group with 27 cases and the non-symptom group with 53 cases, and the color Doppler ultrasound was used for examination, and the accuracy was compared. Results The liver cancer test rate by CT plain scanning, the ultrasound examination and by the CT enhanced scanning were respectively 76.25%( 61/80),93.75%( 75/80), 96.25%( 77/80), and the test rate of liver cancer examined by the CT enhanced scanning was slightly higher than that of ultrasound examination, but the difference was not obvious, without statistical significance(χ~2=0.3866, P>0.05); and the test rate of liver cancer by the ultrasound and CT enhanced scanning was obviously higher than that of CT plain scanning, and the difference was statistically significant(χ~2=12.009 8,16.864 3, P<0.05), and the test rate of liver cancer by the ultrasound examination was higher than that of CT plain scanning, in terms of symptom group, and the difference was statistically significant(χ~2=20.410 0, P<0.05); and the test rate of liver cancer by the ultrasound and CT enhanced scanning was obviously higher than that of CT plain scanning, and the difference was statistically significant(χ~2=20.014 3, 9.810 4, P<0.05), and the test rate of liver cancer of the three examination methods in the big liver cancer group was not obvious, without statistical significance(χ~2=3.381 3, 0.000 0, 3.381 3, P>0.05),and the test rate of liver cancer by the ultrasound and CT enhanced scanning in the small liver cancer group was obviously higher than that of CT plain scanning, and the differences were statistically significant(χ~2=18.482 4, 29.420 4,P <0.05). Conclusion The application of ultrasound examination in the physical examination can help discover the small liver cancer, and the ultrasound examination is an effective diagnosis way of liver cancer.
引文
[1]袁月德,刘梅存.三维彩色多普勒超声与超声造影对鉴别诊断原发性肝癌及转移性肝癌的价值[J].中国医疗设备,2018,33(6):78-81.
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[5]陈淑贞,唐妍,程志坚,等.超声体检在早期发现无症状肝癌和小肝癌的临床诊断价值[J].中华普外科手术学杂志:电子版,2016,10(2):171-173.
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[7]张颖,周仲芳,罗家红,等.体检对小肝癌的检出影响因素与体检方案优化分析[J].泸州医学院学报,2014,37(2):220-222.
[8]于慧琳,王静波.超声造影对肝硬化背景下小肝癌的早期诊断价值评估[J].中国当代医药,2018,25(6):78-80.
[9]唐静,王飞.超声造影诊断肝内肿块性质的临床价值分析[J].中国肿瘤外科杂志,2018,10(1):50-51.
[10]普佳华.超声多普勒成像在肝癌及肝血管瘤鉴别诊断中的价值[J].中外医学研究,2018,16(5):94-96.
[11]张盛斌,全艳.超声造影对肝硬化合并肝内微小结节的诊断价值[J].中国数字医学,2018,13(2):16-18,50.
[2]田野.超声体检对早期发现无症状肝癌和小肝癌的临床诊断价值研究[J].影像研究与医学应用,2018,2(12):53-54.
[3]汤晓艳.超声造影在肝癌介入治疗中的应用价值[J].实用癌症杂志,2018,33(5):781-783.
[4]杜轲锋.超声引导下经皮微波消融术治疗原发性小肝癌的疗效分析[J].实用中西医结合临床,2018,18(3):35-37.
[5]陈淑贞,唐妍,程志坚,等.超声体检在早期发现无症状肝癌和小肝癌的临床诊断价值[J].中华普外科手术学杂志:电子版,2016,10(2):171-173.
[6]陆继强,吕静云,沈振海,陆昀,李凤,黄荣根,宋文军,孙金孝,恽景廷,赵静.健康体检中超声检出恶性肿瘤的价值[J].海南医学,2015,26(5):673-676.
[7]张颖,周仲芳,罗家红,等.体检对小肝癌的检出影响因素与体检方案优化分析[J].泸州医学院学报,2014,37(2):220-222.
[8]于慧琳,王静波.超声造影对肝硬化背景下小肝癌的早期诊断价值评估[J].中国当代医药,2018,25(6):78-80.
[9]唐静,王飞.超声造影诊断肝内肿块性质的临床价值分析[J].中国肿瘤外科杂志,2018,10(1):50-51.
[10]普佳华.超声多普勒成像在肝癌及肝血管瘤鉴别诊断中的价值[J].中外医学研究,2018,16(5):94-96.
[11]张盛斌,全艳.超声造影对肝硬化合并肝内微小结节的诊断价值[J].中国数字医学,2018,13(2):16-18,50.