37例原发性肝癌彩色多普勒超声表现及特点分析

Analysis ofthe performance and characteristics of color Doppler ultrasound of 37 patients with Primary hepatic carcinoma

目的探讨彩色多普勒超声(CDFI)在原发性肝癌诊断方面的临床价值。方法选择37例原发性肝癌患者,对患者的超声图像与病理分型结合进行比较分析。结果 37例原发性肝癌患者中,病理分型为弥漫型的有12例,块状型有14例,结节型有8例,小癌型有3例。不同病理分型的原发性肝癌都有不同的声像图特征。CDFI显示>3cm的癌肿Ⅲ型血流检出率为68.6%,显著高于≤3cm组的28.6%,统计学有显著性差异(P<0.05)。病变区收缩期高流速为(32-108)cm/s,阻力指数0.42-0.82。结论彩色多普勒超声在诊断原发性肝癌方面有一定的的临床价值,且操作简便,可作为肝癌筛查的重要手段在临床推广和普及。

Objective To explore clinical value of color Doppler ultrasound（CDFI）in the diagnosis of primary liver cancer.Methods 37 cases patients with primary liver cancer were collected,and the ultrasonographic features and pathological type were compared and analyzed.Results In 37 cases of primary liver cancer patients,12 cases were pathologicaldiffuse type,14 cases were massive type,8cases were nodular type,3cases were small cancer type.Different pathological type of primary hepatocellular carcinoma has different ultrasonographic features.The blood flow detection rate of CDFI display3cm was 68.6%,significantly higher than that of 28.6%in≤3cm group,the statistics have significant difference（P〈0.05）.The lesion area systolic velocity was（32-108）cm/s,the resistance index was 0.42-0.82.Conclusion CDFI can increase the rate of diagnosis of primary liver cancer,and the operation is simple,noninvasive,is worthy of promotion and application.