中国实用外科杂志

中国实用外科杂志 ›› 2006, Vol. 26 ›› Issue (09): 1-664.

• 论著 •    

超声造影对小肝癌合并肝炎后肝硬化的诊断价值

段红艳1，罗葆明2，张彤3   

  1. 1.暨南大学附属第一医院超声科，广东广州510632；2.中山大学附属第二医院超声科，广东广州510120；3.中山大学附属第三医院肝移植中心，广东广州510630
  • 收稿日期:2006-05-10 修回日期:2006-06-30 出版日期:2006-08-21 发布日期:2006-08-21
  • 通讯作者: 罗葆明

Diagnosis of small hepatocellular carcinoma in patients with posthepatitic cirrhosis with contrast-enhanced ultrasound.

<a href="https://www.zgsyz.com/zgsywk/EN/article/advancedSearchResult.do?searchSQL=(((Duan Hongyan[Author]) AND 1[Journal]) AND year[Order])" target="_blank">Duan Hongyan</a>,<a href="https://www.zgsyz.com/zgsywk/EN/article/advancedSearchResult.do?searchSQL=(((Luo Baoming，Zhang Tong.[Author]) AND 1[Journal]) AND year[Order])" target="_blank">Luo Baoming，Zhang Tong.</a>   

  1. Department of Ultrasound of the First Affiliated Hospital of Jinan University，Guangzhou 510632,China
  • Received:2006-05-10 Revised:2006-06-30 Online:2006-08-21 Published:2006-08-21
  • Contact: Luo Baoming

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摘要：

目的:探讨超声造影对小肝癌合并肝炎后肝硬化的诊断价值。方法:2004年3月至2005年10月，使用造影剂Sonovue对小肝癌结节行超声造影检查，评价肝癌瘤体内的增强变化，并与动态增强CT和（或）动态增强MRI对比。结果:小肝癌超声造影的表现以动脉期呈高增强，门静脉期呈等或低增强，延迟期呈低增强为标准，正确诊断率为88.2%（60/68），而结合延迟期肝癌呈低增强的标准，正确诊断率为97.1%（66/68），假阳性率2.9%（2/68）。结论:超声造影能提高肝硬化背景下小肝癌的诊断率。

关键词: 原发性肝癌, 超声造影, 肝硬化

Abstract:

Objective:To evaluate the clinical merit of contrastenhanced ultrasound (CEUS) in the diagnosis of Small hepatocellular carcinoma (HCC) in patients with posthepatitic cirrhosis. Methods:Small hepatocellular carcinoma were examined and observed by CEUS between March 2004 and October 2005,using ultrasound contrast agentSonovue.Contrast enhanced CT and or MRI were performed in all cases. Results:The accuracy of diagnosing Small HCC by CEUS were 88.2% (60/68),according to the hypoenhancement in arterial phase,isoenhancement or hyoenhancement in portal phase,hypoenhancement in delayed phase.The accuracy and false positive rate of diagnosing Small HCC by CEUS were 97.1% (66/68) and 2.9%(2/68) according to the hypoenhancement in delayed phase. Conclusion:CEUS might increase the diagnosis of small HCC.

Key words: Hepatocellular carcinoma, Contrastenhanced ultrasound, Hepatic cirrhosis