CAJ | 학술논문

目的评价超声造影在诊断进展期胃癌肝转移中的价值.方法对206例进展期胃癌患者运用超声造影技术对胃癌病灶进行检查的同时进行肝超声造影检查,观察肝超声造影增强情况,并与二维超声结果比较.结果 206例进展期胃癌患者二维超声检查共发现21例(85个)肝内转移性病变,而超声造影检查发现28例(147个)肝内转移性病变,新增7例(41个)二维超声检查均未发现肝内转移性病灶,而在胃癌超声造影检查同时发现肝内多个低增强才得到诊断,重新回到二维检查程序还是不能发现病灶.超声造影检查对肝转移灶的检出率显著高于二维检查(10.2%vs13.6%,X2=5.143,P＜0.05).结论超声造影可弥补二维超声的不足,可作为进展期胃癌肝转移的首选检查方法之一.
목적 평개초성조영재진단진전기위암간전이중적개치.방법 대206례진전기위암환자운용초성조영기술대위암병조진행검사적동시진행간초성조영검사,관찰간초성조영증강정황,병여이유초성결과비교.결과 206례진전기위암환자이유초성검사공발현21례(85개)간내전이성병변,이초성조영검사발현28례(147개)간내전이성병변,신증7례(41개)이유초성검사균미발현간내전이성병조,이재위암초성조영검사동시발현간내다개저증강재득도진단,중신회도이유검사정서환시불능발현병조.초성조영검사대간전이조적검출솔현저고우이유검사(10.2%vs13.6%,X2=5.143,P＜0.05).결론 초성조영가미보이유초성적불족,가작위진전기위암간전이적수선검사방법지일.
Objective To evaluate the liver metastasis in patients with advanced gastric carcinoma using contrast-enhanced ultrasonography(CEUS).Methods Two hundreds and six patients with advanced gastric cancer proved by endoscopic biopsy who underwent preoperative CEUS examination were enrolled in this study.The metastatic lesions in liver were assessed using two-dimensionsl ultrasound firstly,then the CEUS was performed and the liver metastasis was assessed simultaneously.The results of these two modalities were compared each other.Results In 206 patients,21 cases(85 lesions)with liver metastasis were detected by two-dimensional ultrasound.However,28 patients(147 lesions)with liver metastasis were detected by CEUS.Seven cases(41 lesions)were detected only by CEUS.The isolating rate of CEUS was significantly higher than two-dimensionaI ultrasound(10.2%vs13.6%,x2=5.143,P＜0.05).Conclusions CEUS could be considered as a retrieving method of two-dimensional ultrasound for the diagnosis of liver metastasis in patients with advanced gastric carcinoma.