CAJ | 학술논문

目的：探讨声触诊组织量化(VTQ)技术在肝硬化背景下对肝癌的应用价值。方法使用灾栽匝对78例肝硬化背景下的肝脏实性结节和对应的肝背景行VTQ检查，并对所有结节进行穿刺组织病理学检查，对良恶性结节VTQ值进行对比分析。结果78病例中，原发性肝癌37例，转移性肝癌15例，肝硬化再生结节26例，原发性肝癌、转移性肝癌与所对应的肝背景比较，差异有显著性(P<0.05)；原发性肝癌、转移性肝癌与肝硬化再生结节比较，差异有显著性(P<0.05)；肝硬化再生结节与所对应的背景对照比较，差异无统计学意义(P>0.05)。结论探讨声触诊组织量化技术在肝硬化背景下对肝内实性结节的良恶性鉴别有一定的应用价值。
목적：탐토성촉진조직양화(VTQ)기술재간경화배경하대간암적응용개치。방법사용재재잡대78례간경화배경하적간장실성결절화대응적간배경행VTQ검사，병대소유결절진행천자조직병이학검사，대량악성결절VTQ치진행대비분석。결과78병례중，원발성간암37례，전이성간암15례，간경화재생결절26례，원발성간암、전이성간암여소대응적간배경비교，차이유현저성(P<0.05)；원발성간암、전이성간암여간경화재생결절비교，차이유현저성(P<0.05)；간경화재생결절여소대응적배경대조비교，차이무통계학의의(P>0.05)。결론탐토성촉진조직양화기술재간경화배경하대간내실성결절적량악성감별유일정적응용개치。
Objective To evaluate the value of virtual touch quantification (VTQ) for liver tumors with liver cirrhosis. Methods VTQ was implemented in a total of 78 cases of liver solid nodules and surrounding hepatic tissues. All the lesions were pathologically confirmed, and the VTQ values of both benign and malignant nodules were compared. Results Pathological examination showed 37 lesions of hepatocellular carcinoma, 15 lesions of metastatic liver carcinoma and 26 lesions of focal nodular hyperplasia. The VTQ values of primary carcinoma, metastatic tumor and their background were significantly different (P<0.05);the VTQ values of primary carcinoma, metastatic tumor and focal nodularhyperplasia were significantly different (P <0.05), but focal nodular hyperplasia and its background had no significant difference (P >0.05). Conclusions VTQ is a useful technique for differentiating benign nodules from malignant liver tumors under the circumstance of liver cirrhosi.