CAJ | 학술논문

目的：探讨超声检查中门静脉栓子与等回声肝癌的相关性，以提高等回声肝癌的检出率。方法24例患者于常规二维超声检查提示门静脉系统栓子存在，加用彩色多普勒血流显像(CDFI)后得以证实，反复超声检查肝实质内均未见明确团块回声，仅见邻近门静脉栓子的肝叶结构紊乱；而计算机横断扫描(CT)对照检查显示肝实质内存在明确块状密度。结果其中17例予以手术切除、另7例进行超声引导下经皮经肝组织穿刺活检术，所有病例均经病理证实为原发性肝癌患者；其中21例肝细胞性肝癌，3例胆管细胞性肝癌。结论当超声检查发现肝内门静脉栓子声像图，无论肝实质内是否伴有明确团块回声，应高度警惕等回声肝癌存在的可能，切勿掉以轻心。
목적：탐토초성검사중문정맥전자여등회성간암적상관성，이제고등회성간암적검출솔。방법24례환자우상규이유초성검사제시문정맥계통전자존재，가용채색다보륵혈류현상(CDFI)후득이증실，반복초성검사간실질내균미견명학단괴회성，부견린근문정맥전자적간협결구문란；이계산궤횡단소묘(CT)대조검사현시간실질내존재명학괴상밀도。결과기중17례여이수술절제、령7례진행초성인도하경피경간조직천자활검술，소유병례균경병리증실위원발성간암환자；기중21례간세포성간암，3례담관세포성간암。결론당초성검사발현간내문정맥전자성상도，무론간실질내시부반유명학단괴회성，응고도경척등회성간암존재적가능，절물도이경심。
Objective:Discuss the relation between portal vein thrombus and equal echo liver cancer on ultrasonography, purpose improve the diagnosis rate of equal echo liver cancer on ultrasonography .Methods:24 patients were found portal vein thrombus in liver by B mode ultrasound scan , and color doppler flow imaging display “fil ing defect”, no mass was found in careful y examine,only found the stage structure nearby portal vein thrombus were confused . But mass was displaied by CT examination .Results:17 patients were operationed , the other 7 patients underwent ultrasonical y guided liver biopsy . 24 cases confirmed primary carcinoma of liver by diagnostic pathology. 21 lesions of hepatic cellcarcinoma ,the other 3 lesions of bile duct carcinoma .Conclusions:whether or not suspect mass in liver ,but portal vein thrombus of liver exist ,we wil think the equal echo liver cancer might exist possibly .Do be careful.