肝硬化患者结节性质的超声影像分析

Analysis of cirrhotic nodules with ultrasound

目的探讨超声检测肝硬化患者二维超声时结节的性质及其与预后的关系。方法300例肝硬化患者经超声检查、超声造影检查、肝脏穿刺活体组织检查及结合临床等综合确诊,观察灰阶超声肝脏结节性质及其与预后的关系。结果300例灰阶超声检查中,超声显示为低回声结节者156例,占52%,稍强回声结节者51例,占17%,混合回声结节93例,占31%,结论肝硬化患者灰阶超声检查结果显示不同以往仅为低回声结节的结论,其中相当一部分结节呈稍强回声或混合回声,而前者与HCC关系较密切。

Objective To study the characteristics of cirrhotic nodules and its relationship with disease prognosis.Methods 300 hepatic cirrhosis patients were diagnosed by contrast enhanced ultrasound（CEUS）,liver biopsy and clinical indexes.The relationship between the property of the nodules and prognosis were analyzed.Results From the total of 300 cirrhotic patients,ultrasound diagnosis showed 52% hypo-echo,17% hyper-echo and 31% mixed-echo.Conclusion Many cirrhotic patients showed hyper-echo nodes in the liver,which were different from the previous findings that showed only hypo-echo nodes in the liver.Hypo-echo nodes had close relationship with hepatic carcinoma.