CAJ | 학술논문

目的：探讨超声对不典型肝囊肿、肝脓肿和肝囊肿型恶性肿瘤的鉴别诊断价值。方法该院整群选择2012年3月-2015年6月期间符合研究要求的133例患者作为病例资料，利用超声对肝囊肿型恶性肿瘤42例、肝脓肿38例、肝囊肿53例患者进行鉴别诊断，记录3组患者的病灶大小、血流速度、积分值，并对超声结果进行分析比较。结果3组患者的积分值、血流速度差异有统计学意义(P<0.05)；3组患者病灶大小相比较，差异无统计学意义(P>0.05)。肝脓肿和肝囊肿型恶性肿瘤患者的壁结节、囊液回声和分隔相比较，差异有统计学意义(P<0.05)；肝脓肿和肝囊肿型恶性肿瘤的囊壁厚度、形态、边界特征相比较，差异无统计学意义(P>0.05)。结论肝囊肿型恶性肿瘤、肝囊肿和肝脓肿在超声像图上的表现各不相同，而病灶内有分隔、囊壁以及分隔内有血流和囊壁内有壁结节对于诊断肝囊肿型恶性肿瘤具有较高的价值。
목적：탐토초성대불전형간낭종、간농종화간낭종형악성종류적감별진단개치。방법해원정군선택2012년3월-2015년6월기간부합연구요구적133례환자작위병례자료，이용초성대간낭종형악성종류42례、간농종38례、간낭종53례환자진행감별진단，기록3조환자적병조대소、혈류속도、적분치，병대초성결과진행분석비교。결과3조환자적적분치、혈류속도차이유통계학의의(P<0.05)；3조환자병조대소상비교，차이무통계학의의(P>0.05)。간농종화간낭종형악성종류환자적벽결절、낭액회성화분격상비교，차이유통계학의의(P<0.05)；간농종화간낭종형악성종류적낭벽후도、형태、변계특정상비교，차이무통계학의의(P>0.05)。결론간낭종형악성종류、간낭종화간농종재초성상도상적표현각불상동，이병조내유분격、낭벽이급분격내유혈류화낭벽내유벽결절대우진단간낭종형악성종류구유교고적개치。
Objective To evaluate the diagnostic value of ultrasonography in the identification of atypical liver cyst, liver abscesses and liver cyst type of malignancy. Methods 133 patients of requirements from March 2012 to June 2015 treated as a clinical data, they were treated with ultrasound for liver cystic cancer, liver abscess, the differential diagnosis of hepat-ic cysts.Recorded and compared lesion size, flow velocity, the integral value of the three groups. Results Blood flow velocity and integral value of the three groups compared, the difference were statistical significance(P<0.05);three groups of patients with lesion size compared , the differences were not statistically significant(P>0.05). Liver abscesses and liver cancer in pa-tients with cystic wall nodules, cyst fluid and separator echo compared,the differences were statistically significant (P<0.05);wall thickness , shape, phase boundary characteristics of liver abscesses and liver cystic malignancies, the differences were not statistically significant (P>0.05). Conclusion Liver cystic cancer, liver cysts and liver abscess in ultrasound image perfor-mance chart are different, but internal lesions within the partition, and the partition wall and the inner wall of blood flow walled cystic nodule for diagnosis of liver cancer has a high value.