检测肝动脉、门静脉血流量对原发性肝癌术后复发的诊断价值

Detection of Blood Flow of Hepatic Artery and Portal Vein in Patients with Primary Liver Cancer Recurrence

目的探讨肝动脉血流量(Qh)与门静脉血流量(Qp)变化对原发性肝癌患者术后复发的早期诊断价值。方法原发性肝癌术后复发者43例、术后未复发者38例、同期无肝脏疾病健康体检者30例(对照组),利用彩色多普超声诊断仪分别测定3组的Qh及Qh/Qp,并对检测结果进行统计学分析。结果原发性肝癌术后复发组Qh及Qh/Qp明显高于术后未复发组及对照组(P<0.05),术后未复发组与对照组Qh及Qh/Qp差异无统计学意义(P>0.05)。结论 Qh及Qh/Qp骤然增加可提示肝癌术后复发的可能,Qh>900 ml/min,Qh/Qp>0.33可作为肝癌术后复发诊断的参考值。

Objective To evaluate the changes of the hepatic blood flow（Qh）and the portal blood flow（Qp）in early diagnosis of recurrence of patients with primary liver cancer.Methods 43 cases with primary liver cancer recurrence,38 cases without recurrence after surgery and 30 normal controls were enrolled the study.The Qh and Qh/Qp of all subjects were detected by color Doppler ultrasonograply,and all the results were analyzed.Results The Qh and Qh/Qp of tumor recurrence group were much higher than those of non-recurrence group and control group（P0.05）,while there was no statistical difference between non-recurrence group and control group（P0.05）.Conclusion Qh and Qh/Qp increase suddenly may suggest that the possibility of recurrence of liver cancer,Qh900 ml/min,Qh/Qp0.33 can be used as references for diagnosis of liver cancer recurrence.