超声下肝总动脉旁淋巴结肿大的探讨

Ultrasound Observation of Lymph Nodes around the Hepatic Artery

在超声下对２３０例观察者的肝动脉及门静脉周围的淋巴结进行了检查，结果表明：肝动脉旁淋巴结的总发生率为３４％，病毒性肝炎、肝硬化、肝癌淋巴结肿大的发生率明显高于正常人及其它肝病的患者（Ｐ值＜０．００５），但肝癌与病毒性肝炎、肝硬化比较，无明显差异（Ｐ值＞０．０５）。我们认为肝动脉旁淋巴结的肿大，同肝脏的良性病变关系较为密切。

The lymph nodes around the hepatic aretry and the portal vein were prospectively examined by ultrasound in 230 patients. Hepatoduodenal lymph nodes were seen in 80 patients (34%). The incidences of enlarged lymph nodes were significantly higher in patients with viral hepatitis, liver cancer and/or cirrhosis than normal individuals and patients with other hepatic diseases(P<0.005), but the differences of incidences between the patients with liver cancer and patients with cirrhosis and/or viral hepatitis were not significant (P>0.05). US visualization of the enlargement of lymph nodes around the hepatic artery is frequently seen in patients with viral hepatitis, hepatic cirrhosis and/or hepatic cancer and it is not a diagnostic criterion of liver cancer.