中国医药导报
中國醫藥導報
중국의약도보
CHINA MEDICAL HERALD
2014年
28期
72-74,78
,共4页
原发性肝癌%肝血管瘤%彩色多普勒超声%鉴别
原髮性肝癌%肝血管瘤%綵色多普勒超聲%鑒彆
원발성간암%간혈관류%채색다보륵초성%감별
Primary Liver Cancer%Hepatic hemangioma%Color Doppler ultrasound%Identify[Key words] Primary Liver Cancer%Identify
目的：探讨彩色多普勒超声在原发性肝癌与肝血管瘤鉴别诊断中的价值。方法回顾性分析原发性肝癌患者25例(观察组)和肝血管瘤患者34例(对照组)资料。两组患者均接受肝脏二维及彩色多普勒超声检查，观察两组肿块直径、形态、回声及与周围组织关系及血流信号，同时观察肝固有动脉及门静脉血流情况，比较观察指标与疾病之间的联系。结果观察组25例患者可见65个肝脏肿块，二维超声表现为形态不规则，边缘不清晰，内部回声不均匀，可见占位效应；对照组34例患者可见89个肝脏肿块，二维超声表现为形态规则，边缘清晰，内部回声均匀，一般无占位效应；两组上述指标差异有统计学意义(χ2=55.96、9.01、5.20、81.69，P<0.05或P<0.01)。观察组彩色多普勒超声表现为周边及内部可见丰富血流信号，而对照组彩色多普勒超声表现为周边及内部血流信号不丰富。观察组患者的肝固有动脉峰值流速、最小流速[(98.75±18.64)cm/s、(31.05±9.97)cm/s、]均明显高于对照组[(69.89±17.58)cm/s、(25.69±7.54)cm/s]，差异有统计学意义(t=3.48、2.36，P<0.05或P<0.01)，门静脉血流流速[(11.98±3.78)cm/s]低于对照组[(14.43±4.11)cm/s]，差异有统计学意义(t=2.34，P<0.05)。结论采用彩色多普勒超声可以有效鉴别原发性肝癌与肝血管瘤，为临床的诊断及治疗提供重要依据。
目的：探討綵色多普勒超聲在原髮性肝癌與肝血管瘤鑒彆診斷中的價值。方法迴顧性分析原髮性肝癌患者25例(觀察組)和肝血管瘤患者34例(對照組)資料。兩組患者均接受肝髒二維及綵色多普勒超聲檢查，觀察兩組腫塊直徑、形態、迴聲及與週圍組織關繫及血流信號，同時觀察肝固有動脈及門靜脈血流情況，比較觀察指標與疾病之間的聯繫。結果觀察組25例患者可見65箇肝髒腫塊，二維超聲錶現為形態不規則，邊緣不清晰，內部迴聲不均勻，可見佔位效應；對照組34例患者可見89箇肝髒腫塊，二維超聲錶現為形態規則，邊緣清晰，內部迴聲均勻，一般無佔位效應；兩組上述指標差異有統計學意義(χ2=55.96、9.01、5.20、81.69，P<0.05或P<0.01)。觀察組綵色多普勒超聲錶現為週邊及內部可見豐富血流信號，而對照組綵色多普勒超聲錶現為週邊及內部血流信號不豐富。觀察組患者的肝固有動脈峰值流速、最小流速[(98.75±18.64)cm/s、(31.05±9.97)cm/s、]均明顯高于對照組[(69.89±17.58)cm/s、(25.69±7.54)cm/s]，差異有統計學意義(t=3.48、2.36，P<0.05或P<0.01)，門靜脈血流流速[(11.98±3.78)cm/s]低于對照組[(14.43±4.11)cm/s]，差異有統計學意義(t=2.34，P<0.05)。結論採用綵色多普勒超聲可以有效鑒彆原髮性肝癌與肝血管瘤，為臨床的診斷及治療提供重要依據。
목적：탐토채색다보륵초성재원발성간암여간혈관류감별진단중적개치。방법회고성분석원발성간암환자25례(관찰조)화간혈관류환자34례(대조조)자료。량조환자균접수간장이유급채색다보륵초성검사，관찰량조종괴직경、형태、회성급여주위조직관계급혈류신호，동시관찰간고유동맥급문정맥혈류정황，비교관찰지표여질병지간적련계。결과관찰조25례환자가견65개간장종괴，이유초성표현위형태불규칙，변연불청석，내부회성불균균，가견점위효응；대조조34례환자가견89개간장종괴，이유초성표현위형태규칙，변연청석，내부회성균균，일반무점위효응；량조상술지표차이유통계학의의(χ2=55.96、9.01、5.20、81.69，P<0.05혹P<0.01)。관찰조채색다보륵초성표현위주변급내부가견봉부혈류신호，이대조조채색다보륵초성표현위주변급내부혈류신호불봉부。관찰조환자적간고유동맥봉치류속、최소류속[(98.75±18.64)cm/s、(31.05±9.97)cm/s、]균명현고우대조조[(69.89±17.58)cm/s、(25.69±7.54)cm/s]，차이유통계학의의(t=3.48、2.36，P<0.05혹P<0.01)，문정맥혈류류속[(11.98±3.78)cm/s]저우대조조[(14.43±4.11)cm/s]，차이유통계학의의(t=2.34，P<0.05)。결론채용채색다보륵초성가이유효감별원발성간암여간혈관류，위림상적진단급치료제공중요의거。
Objective To discuss the differential diagnosis value of color Doppler ultrasound on primary liver cancer (PLC) and hepatic hemangioma (HCH). Methods Clinical data of 25 cases of patients with PLC (observation group) and 34 cases of patients with HCH (control group) were retrospectively analyzed. The patients in the two groups were given two-dimensional and Doppler ultrasound examination on liver. The size, shape, and echo of lump and its relationship with surrounding tissues and blood flow signals were observed, and meanwhile, the blood flow volume of proper hepatic arteria and portal vein were observed, the relationship between observation index and disease were compared and ob-served. Results 65 liver masses appeared in 25 cases of patients in the observation group, which showed irregular form, unclear border, heterogeneous internal echo and mass effect under two-dimensional ultrasound; 89 liver masses ap-peared in 34 cases of patients in control group, which showed regular shape, clear boundary and homogeneous internal echo without mass effect under two-dimensional ultrasound, the differences were statistically significant (χ2=55.96, 9.01, 5.20, 81.69, P< 0.05 or P< 0.01). Surrounding and internal abundant blood flow signals appeared in the obser-vation group by color Doppler ultrasound examination, and no rich blood flow signals in peripheral lesions and interior in the control group by color Doppler ultrasound examination. The Vmax and Vmin of proper hepatic arteria of patients in the observation group [(98.75±18.64) cm/s, (31.05±9.97) cm/s] were much higher than those in the control group [(69.89±17.58) cm/s, (25.69±7.54) cm/s], the differences were statistically significant (t=3.48, 2.36, P<0.05 or P<0.01), while the blood flow of portal vein [(11.98±3.78) cm/s] was much lower than that in the control group[(14.43±4.11) cm/s], the difference was statistically significant (t=2.34, P<0.05). Conclusion The color Doppler ultrasound can effectively i-dentify the PLC and HCH, which can provide significant evidence for the clinical diagnosis and treatment.
