CAJ | 학술논문

目的：对比研究肝细胞肝癌（ hepatocellular carcinoma ， HCC ）的超声造影（ contrast-enhanced ultrasonography ， CEUS）定量分析和增强CT（contrast-enhanced computed tomography ，CECT）影像学特点，评价CEUS定量分析技术对提高HCC诊断准确性的临床价值。方法对46例可疑肝脏病灶进行CEUS定量分析、常规CEUS和CECT检查，以病理诊断为金标准，对三种方法诊断HCC的敏感性、特异性和诊断符合率进行比较。结果 CEUS定量分析技术诊断HCC的敏感性和诊断符合率明显高于常规CEUS及CECT，特异性较CEUS高（P＜0.05），与CECT比较差异无统计学意义。结论 CEUS定量分析技术可明显提高HCC诊断的准确性，具有一定临床实用价值。
목적：대비연구간세포간암（ hepatocellular carcinoma ， HCC ）적초성조영（ contrast-enhanced ultrasonography ， CEUS）정량분석화증강CT（contrast-enhanced computed tomography ，CECT）영상학특점，평개CEUS정량분석기술대제고HCC진단준학성적림상개치。방법대46례가의간장병조진행CEUS정량분석、상규CEUS화CECT검사，이병리진단위금표준，대삼충방법진단HCC적민감성、특이성화진단부합솔진행비교。결과 CEUS정량분석기술진단HCC적민감성화진단부합솔명현고우상규CEUS급CECT，특이성교CEUS고（P＜0.05），여CECT비교차이무통계학의의。결론 CEUS정량분석기술가명현제고HCC진단적준학성，구유일정림상실용개치。
Objective To assess the value of contrast-enhanced ultrasonography ( CEUS) quantitative analysis in hepatocellu-lar carcinoma ( HCC) by comparing it with contrast-enhanced computed tomography ( CECT) .Methods Ultrasonic imaging quantita-tive analysis,CEUS and CECT were performed in 46 cases of suspected HCC patients .The differences of sensitivity ,specificity and ac-curacy of three means on the basis of pathological diagnosis were compared .Results Sensitivity and accuracy of ultrasonic imaging quantitative analysis technology better than CEUS and CECT ,its specificity better than CEUS and there was no statistically significant difference compared with CECT .Conclusion Ultrasonic imaging quantitative analysis technology can obviously improve the accuracy of diagnosis of HCC and has higher clinical value .