彩超对肝硬化代偿期和失代偿期肝癌手术前后临床价值分析

Color Doppler flow imaging for liver cancer before and after operation: analysis of clinical value

目的探讨彩超对肝硬化代偿期和失代偿期肝癌手术前后的临床价值分析。方法研究在肝硬化基础上肝癌手术患者140例,通过彩超和X线、AFP检查的比较,分析肝硬化失代偿期和失代偿期肝硬化肝癌术后生存率与大小肝癌的术后生存率。结果彩超及X线诊断符合率差异无统计学意义(P>0.05),彩超及X线定位诊断符合率差异有统计学意义(P<0.05)。失代偿性肝硬化肝癌术后生存和失代偿性肝癌每年生存率差异有统计学意义,大肝癌和小肝癌术后生存率差异有统计学意义(P<0.05)。结论肝硬化代偿期和失代偿期肝癌术前、术后定位诊断彩超优于X线检查,肝硬化诊断彩超明显优于AFP检查。

Objective To discuss the value of color Doppler ultrasound on compensated cirrhosis and decompensated liver cancer before and after operation analysis of clinical value. Methods Study based on 140 cases of hepatocellular carcinoma in liver cirrhosis patients with operation, through ultrasonography and X-ray, AFP comparison, analysis of decompensated cirrhosis and decompensated cirrhosis hepatoeellular carcinoma postoperative survival rate and the size of liver and the postoperative survival rate. Results color Doppler ultrasound and X ray diagnosis coincidence rate had no significant difference （P 〉 0.05）, color Doppler ultrasound and X ray diagnosis coincidence rate had a significant difference （P 〈 0.05）. Decompensated liver cirrhosis postoperative survival and decompensated liver annual survival rate had a significant difference, large hepatocellular carcinoma and small hepatic carcinoma postoperative survival rate had a significant difference （P 〈 0.05）. Conclusion the compensated cirrhosis and deeompensated liver cancer preoperative, postoperative diagnosis of color Doppler ultrasound is superior to X line inspection, liver cirrhosis diag- nosis color Doppler ultrasound is superior to that of AFP examination.