肝细胞癌患者超声造影及CT增强扫描诊断价值比较
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摘要
目的比较超声造影及CT增强扫描在肝细胞癌诊断中的临床价值。方法选择医院2016年4月-2018年4月收治的肝细胞癌患者80例,所有患者均接受超声造影和CT增强扫描检查。比较超声造影和CT增强扫描的增强特点、表现特点、增强百分率及准确性,并记录肿瘤内血管形态及坏死区显像形态。结果超声造影和CT增强扫描检查的增强特点、表现特点、增强百分率结果相差甚微,差异无统计学意义(P>0.05)。超声造影的准确度高于CT增强扫描,差异有统计学意义(P<0.05)。结论超声造影与CT增强扫描检查相比,增强模式及增强百分率相一致,但其准确性更高。
Objective To compare the clinical value of contrast-enhanced ultrasound and CTenhanced scan in the diagnosis of hepatocellular carcinoma. Methods 80 cases of patients with hepatocellular carcinoma admitted to the hospital from April 2016 to April 2018 were enrolled. All patients were given contrast-enhanced ultrasound and CTenhanced scan.The enhancement characteristics, performance characteristics, enhancementpercentage and accuracy were compared betweencontrast-enhanced ultrasound and CT enhanced scan,and theintratumoral vascular morphology and thenecrotic areas morphology were recorded.Results The enhancement characteristics, performance characteristics and enhancement percentage of contrast-enhanced ultrasound and CTenhanced scan were only slightly different(P>0.05). The accuracy of contrast-enhanced ultrasound was higher than that of CTenhanced scan(P<0.05). Conclusion Compared with CT enhanced scan, contrastenhanced ultrasound has the same enhancement mode and enhancementpercentage, but its accuracy is higher.
Objective To compare the clinical value of contrast-enhanced ultrasound and CTenhanced scan in the diagnosis of hepatocellular carcinoma. Methods 80 cases of patients with hepatocellular carcinoma admitted to the hospital from April 2016 to April 2018 were enrolled. All patients were given contrast-enhanced ultrasound and CTenhanced scan.The enhancement characteristics, performance characteristics, enhancementpercentage and accuracy were compared betweencontrast-enhanced ultrasound and CT enhanced scan,and theintratumoral vascular morphology and thenecrotic areas morphology were recorded.Results The enhancement characteristics, performance characteristics and enhancement percentage of contrast-enhanced ultrasound and CTenhanced scan were only slightly different(P>0.05). The accuracy of contrast-enhanced ultrasound was higher than that of CTenhanced scan(P<0.05). Conclusion Compared with CT enhanced scan, contrastenhanced ultrasound has the same enhancement mode and enhancementpercentage, but its accuracy is higher.
引文
[1]马玉斌.索拉非尼治疗肾细胞癌和肝细胞癌患者相关毒副作用探讨[J].河北医学,2016,22(8):1404-1407.
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[4]龚金玲,邓曦,孙思,等.超声造影技术在鉴别肝血管瘤与原发性肝细胞癌中的应用价值[J].临床超声医学杂志,2016,18(12):801-804.
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[10]李红学,刘军杰,李航,等.超声造影在特殊部位肝癌治疗中的价值[J].中国超声医学杂志,2016,32(1):37-39.
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[12]张岱,叶兆祥,魏玺,等.超声造影在肝脏局灶性病变中的应用价值[J].中国中西医结合急救杂志,2017,24(5):523-526.
[13]张宏春,耿喆.增强C T扫描与超声造影对肝脏占位性病变的临床诊断价值比较[J].实用肝脏病杂志,2016,19(6):696-699.
[14]刘伟.超声造影与增强C T扫描在诊断肝脏占位性病变的临床价值比较[J].中国C T和M R I杂志,2015,25(11):56-58.
[15]王立,李敏,黄冬花,等.超声造影与增强CT检查诊断原发性肝癌的价值比较研究[J].实用肝脏病杂志,2017,20(5):627-628.
[16]王鑫,李玲.动态三维超声造影对肝细胞癌的超声诊断价值[J].医学临床研究,2016,33(9):1702-1707.
[17]梁韬,易旦冰,丁建林,等.低剂量64层螺旋CT双动脉期多期扫描与超声造影诊断小肝癌随机对照分析[J].中国CT和MRI杂志,2015,32(7):64-68.
[18]王江玥.多层螺旋CT增强扫描与超声造影对小于3cm的肾肿瘤的诊断价值的对照研究[J].实用癌症杂志,2018,29(4):1230-1232.
[19]彭泽昇,熊莉.低剂量多层螺旋CT动态增强扫描并超声造影对小肝癌诊断价值[J].齐鲁医学杂志,2017,23(5):524-526.
[2]梁丽丽.肝脏增强C T与肝脏M R I对肝癌早期筛查的应用价值分析[J].山西职工医学院学报,2018,35(1):752-754.
[3]杨霄霄,马红,YANGXiaoxiao,等.肝细胞癌肿瘤标志物的研究进展[J].临床肝胆病杂志,2016,32(4):811-815.
[4]龚金玲,邓曦,孙思,等.超声造影技术在鉴别肝血管瘤与原发性肝细胞癌中的应用价值[J].临床超声医学杂志,2016,18(12):801-804.
[5]方蕾,李世岩.超声造影与肝细胞癌临床病理的相关性[J].中国医药导报,2016,13(7):115-118.
[6]时静祥,王毅军,经翔,等.超声造影与增强螺旋C T诊断肝细胞癌的对比研究[J].天津医药,2017,45(6):643-647.
[7]李霞,胡君.超声造影在老年肝恶性肿瘤诊断及介入治疗评价中的应用价值探讨[J].实用医院临床杂志,2018,35(2):682-685.
[8]龚金玲,邓曦,孙思,等.超声造影技术在鉴别肝血管瘤与原发性肝细胞癌中的应用价值[J].临床超声医学杂志,2016,18(12):801-804.
[9]潘旭,刘政,何颖,等.肝细胞癌超声造影与病理对照分析研究[J].中国医学装备,2017,14(5):56-59.
[10]李红学,刘军杰,李航,等.超声造影在特殊部位肝癌治疗中的价值[J].中国超声医学杂志,2016,32(1):37-39.
[11]徐娟,赵晔,李俊芝.原发性肝癌超声造影诊断的特征性声像图表现[J].肝脏,2016,21(6):441-443.
[12]张岱,叶兆祥,魏玺,等.超声造影在肝脏局灶性病变中的应用价值[J].中国中西医结合急救杂志,2017,24(5):523-526.
[13]张宏春,耿喆.增强C T扫描与超声造影对肝脏占位性病变的临床诊断价值比较[J].实用肝脏病杂志,2016,19(6):696-699.
[14]刘伟.超声造影与增强C T扫描在诊断肝脏占位性病变的临床价值比较[J].中国C T和M R I杂志,2015,25(11):56-58.
[15]王立,李敏,黄冬花,等.超声造影与增强CT检查诊断原发性肝癌的价值比较研究[J].实用肝脏病杂志,2017,20(5):627-628.
[16]王鑫,李玲.动态三维超声造影对肝细胞癌的超声诊断价值[J].医学临床研究,2016,33(9):1702-1707.
[17]梁韬,易旦冰,丁建林,等.低剂量64层螺旋CT双动脉期多期扫描与超声造影诊断小肝癌随机对照分析[J].中国CT和MRI杂志,2015,32(7):64-68.
[18]王江玥.多层螺旋CT增强扫描与超声造影对小于3cm的肾肿瘤的诊断价值的对照研究[J].实用癌症杂志,2018,29(4):1230-1232.
[19]彭泽昇,熊莉.低剂量多层螺旋CT动态增强扫描并超声造影对小肝癌诊断价值[J].齐鲁医学杂志,2017,23(5):524-526.