超声造影在肝硬化合并小肝癌早期诊断中的应用

Application of contrast-enhanced ultrasound in early diagnosis of cirrhosis combined with small hepatocellular carcinoma

目的:探讨超声造影在肝硬化合并小肝癌早期诊断中的应用价值。方法:选择在我院诊治的肝硬化合并小肝癌40例作为观察组,同期选择单纯肝硬化患者40例作为对照组,两组都进行超声造影诊断。结果:观察组与对照组的超声表现明显不一致,观察组的肝动脉血流量、峰值速度都明显高于对照组(P<0.05),而阻力指数明显低于对照组(P<0.05)。结论:超声造影在肝硬化合并小肝癌早期诊断中的应用能有效反映肝动脉系统的血流动力学变化,有很好的诊断价值。

Objective： To explore the value of contrast-enhanced ultrasound in the early diagnosis of cirrhosis combined with small hepatocellular carcinoma. Methods 40 patients with cirrhosis combined with small hepatocellular carcinoma were selected as the observation group. 40 patients with cirrhosis were selected as the control group. The two groups were diagnosed by contrast-enhanced ultrasound. Results： The ultrasound findings of the observation group and the control group were significantly inconsistent. The arterial blood flow and peak velocity of the observation group were significantly higher than those of the control group （P 〈0.05）, while the resistance index was significantly lower than that of the control group （P 〈0.05）.Conclusion： The application of contrast - enhanced ultrasound in the early diagnosis of cirrhosis combined with small hepatocellular carcinoma can effectively reflect the hemodynamic changes of hepatic artery system and have good diagnostic value.