108例肝癌患者超声及腹部CT扫描特点及诊断价值分析

Characteristics and Diagnostic Value of Ultrasonography and Abdominal CT Scan in108 Cases with Liver Cancer

目的分析肝癌患者超声、腹部CT扫描特点及其诊断价值。方法收集2010年1月-2015年6月我院收治且经手术病理证实为肝癌的108例患者的临床资料,所有患者入院后均完成超声及腹部CT检查,总结肝癌超声、CT表现特征,分析两者在肝癌临床诊断中的应用价值。结果138个病灶中,巨块型38个,结节型54个,弥漫型46个。CT检出结节型、弥漫型肝癌准确率高于超声检查(P<0.05);CT诊断肝癌准确率高达94.20%,明显高于超声检查的79.71%(P<0.05)。结论腹部CT对肝癌诊断价值高,CT增强扫描及多期扫描可明确肝癌供血血管的变化,显示肝癌血流动态特点。

Objective To analyze the characteristics and diagnostic value ofultrasonography and abdominal CT scan in patients with liver cancer. Methods The clinical data of 108 patients with liver cancer confimled by operation and pathology in our hospital between January 2010 and June 2015 were collected. All patients underwent ultrasonography and abdominal CT examination after admission. The characteristics of ultrasonography and CT of liver cancer were summarized, and the value of both in clinical diagnosis of liver cancer was analyzed. Results Of the 138 lesions, 38 were massive type, 54 were nodular type and 46 were diffnse type. The accuracy of CT in detection of nodular type and diffuse type liver cancer was higher than ultrasonography （P〈0.05）. The accuracy of CT in the diagnosis of liver cancer （94.20%） was significantly higher than ultrasonography （79.71%） （P〈0.05）. Conclusion Abdonfinal CT is of high diagnostic value in liver cancer. CT enhanced scan and multi-phase scan can clearly show the changes of supplying vessels of liver cancer and display dynamic flow features of liver cancer.