超声弹性成像对肝肿瘤良恶性的鉴别诊断价值

Evaluation of real-time tissue elastography application in differentiatied diagnosis for benign and malignant liver tumors

目的:探讨实时组织弹性成像对肝肿瘤定性诊断的价值。方法:对62例肝占位性病变(80个病灶)进行超声扫查,并进行弹性成像检查。对照病理结果,分析肝良、恶性肿瘤超声弹性成像的特点。结果:肝血管瘤弹性分级多为a-b级,肝细胞癌多为c级,肝转移癌多为d级,肝内胆管细胞癌多为e级;四组病灶间弹性评分具有显著统计学差异。结论:实时组织弹性成像在肝肿瘤诊断中具有独特优势及良好的临床应用前景。

Objective：To study the imaging features of liver tumors with real-time tissue elastography.Methods： Eighty-five liver lesions of sixty-seven cases were scaned with sonography and elastography.Results： Majority of the elasticity grade in hepatic angiosacoma covered grade a and b,while most of hepatocellular carcinoma with grade c and hepatic matastasis with grade d.There was statistical significance between four groups on the distribution of elasticity grade.Conclusion： Elastography is a promising technology and has a distinct advantage in the diagnosis of liver tumors.