肝脏超声弹性成像在肝癌诊断中的意义

Significance of liver ultrasound elastography in the diagnosis of liver cancer

目的:探讨肝脏超声弹性成像在肝癌诊断中的意义。方法:收治肝癌患者60例,肝硬化患者40例。分别给予杨氏模量值、AFP、超声弹性成像检查。结果:肝癌患者癌组织杨氏模量值明显高于肝硬化患者,差异有统计学意义(P<0.05)。肝癌患者癌组织杨氏模量值明显高于癌旁组织,差异有统计学意义(P<0.05)。肝癌患者癌旁组织杨氏模量值明显高于肝硬化患者,差异有统计学意义(P<0.05)。肝癌组织弹性值与血清AFP值无相关性。结论:超声弹性成像能够反映肝癌患者肝脏的硬度,具有较高的诊断敏感度及特异度。

Objective:To investigate the significance of liver ultrasound elastography in the diagnosis of liver cancer.Methods:60 cases of patients with liver cancer and 40 cases of patients with liver cirrhosis were treated with Yang's modulus,AFP and ultrasound elastography respectively.Results:The young's modulus of patients with liver cancer tissue was significantly higher than that of patients with liver cirrhosis,the difference was statistically significant(P<0.05).The young's modulus of cancer tissue was significantly higher than that of paracancerous tissues,and the difference was statistically significant(P<0.05).The values of Young's modulus in paracancerous tissues of patients with liver cancer were significantly higher than those in patients with cirrhosis(P<0.05).Conclusion:Ultrasound elastography could reflect the hardness of liver in patients with liver cancer,and had the highest diagnostic sensitivity and specificity.