肝动脉造影联合肝脏超声造影在小肝癌诊断中的价值

The value of hepatic angiography,contrast-enhanced ultrasound combined detection in the diagnosis of small hepatocellular carcinoma

目的探讨肝动脉造影联合肝脏超声造影在小肝癌诊断中的价值。方法回顾性分析75例肝细胞肝癌(直径3 cm)患者的术前超声造影检查结果、肝动脉造影检查结果以及两者联合检查诊断结果。结果 68例患者术前单独接受肝脏造影B超检查,54例术前诊断肝癌,术前对于肝癌的诊断率为79.4%,35例患者术前单独接受肝动脉造影,其中25例术前诊断为肝癌,术前诊断率为71.4%;28例患者术前同时接受肝脏超声造影和肝动脉造影检查,联合诊断为肝癌27例,肝脏造影B超联合肝动脉造影对于肝癌的诊断率可达到96.4%,结果提示肝脏造影B超和肝动脉造影单独诊断两者差异无显著性(P>0.05),而两者联合检查后分别与肝动脉造影、肝脏造影B超比较,差异有统计学意义(P<0.01或P<0.05)。结论肝脏超声造影联合肝动脉造影可提高小肝癌的诊断率,有助于临床的应用。

Objective To investigate the diagnostic value of hepatic angiography and contrast-enhanced ultrasound （CEUS） in the patients of small hepatocellular carcinoma. Methods 75 patients of primary liver cancer （diameter 3cm）were examined by CEUS], hepatic angiography or both of them], and the results were studied. Results 68 patients were examined only by CEUS, 54（79.4%） patients were diagnosed with primary liver cancer; 35 patients were examined only by hepatic angiography], and 25 （71.4%） patients were diagnosed with primary liver cancer; 28 patients were re ceived both the examination of hepatic angiography and CEUS, and 27（96.4%） patients were diagnosed with primary liver cancer. The combined detection of hepatic angiography and CEUS were significantly higher than hepatic angiogra- phy （P〈0.01） or CEUS（P〈0.05）. Conclusion Hepatic angiography combined detection with CEUS can improve the di- agnosis accuracy of primary liver cancer, it is helpful for clinical application.