超声造影联合CT增强扫描在诊断早期肝癌合并肝硬化中的应用

Diagnostic application of ultrasound combined with enhanced CT in early liver cancer complicated with cirrhosis

目的探讨超声造影联合增强CT在诊断早期肝癌合并肝硬化中的价值。结果以2010年10月至2017年3月期间在嘉峪关市第一人民医院及解放军兰州总医院接受诊治的59例肝癌合并肝硬化患者,所有患者均通过肝脏CT增强扫描、超声造影、常规超声诊断,统计分析诊断结果。结果 CT增强扫描、常规超声检查、超声造影的检出率分别为81.36%、62.71%、84.75%,CT增强扫描及超声造影检出率明显高于常规超声(χ~2=8.036,12.578;P<0.05),超声造影检出率与CT增强扫描相比,差异无统计学意义(P>0.05);而超声造影联合CT增强扫描的检出率为94.92%,明显高于超声造影(χ~2=5.556,P<0.05);及CT增强扫描(χ~2=9.280,P<0.05)。结论超声造影联合CT增强扫描可有效提高在早期肝癌合并肝硬化中的检出率。

Objective To investigate the diagnostic value of ultrasound combined with enhanced CT for early liver cancer complicated with cirrhosis.Methods The clinical data of 59 cases of liver cancer complicated with cirrhosis treated during Oct.2010 and Mar.2017 were retrospectively analyzed.All patients received hepatic enhancement CT scan,ultrasound contrast,and regular ultrasound.The imaging data and diagnostic results were statistically analyzed.Results The detection rate of enhanced CT,regular ultrasound and ultrasound contrast was 81.36%,62.71%and 84.75%,respectively.The enhanced CT and ultrasound contrast had apparently higher detection rate than regular ultrasound(χ2=8.036,12.578;P<0.05).The difference in the detection rate between ultrasound contrast and enhanced CT was not significant(P>0.05),while the detection rate of ultrasound contrast combined with enhanced CT was 94.92%,which significantly higher than that of ultrasound contrast(χ2=5.556,P<0.05),and enhanced CT(χ2=9.280,P<0.05).Conclusion Ultrasound contrast combined with enhanced CT can effectively improve the detection rate of liver cancer complicated with liver cirrhosis,and it can be widely used.