探究肝硬化结节与微小肝癌应用彩超诊断与鉴别的效果

To Explore the Effect of Color Doppler Ultrasonography in the Diagnosis and Differentiation of Cirrhotic Nodules and Minimal Hepatocellular Carcinoma

目的探究彩超在诊断与鉴别肝硬化结节与微小肝癌过程中的临床应用效果。方法本次实验研究将2017年12月至2018年12月在我院接受肝硬化结节治疗的患者23例和接受微小肝癌治疗的患者21例作为实验研究的对象,所有患者均经过病例证实,运用彩超对本次实验研究中所有患者进行诊断与鉴别,对其诊断与鉴别效果进行探究与评价。结果在血流速度、血流量以及肝动脉直径等指标的比较上,肝硬化结节与微小肝癌患者之间存在显著差异(P<0.05);肝硬化结节患者彩超表现为结节粗大不规则或者是细小规则,存在增高回声,可见小血管结构,且周围血流无信号,未见彩超能量成像;微小肝癌患者彩超表现为病灶结节数量较少,病灶均在2 cm以下,单发患者较多,且大多数表现为低回声,呈圆形病灶,便捷清楚,周围有丰富的血流信号,存在彩超能量成像。结论在诊断与鉴别肝硬化结节与微小肝癌的过程中彩超诊断的运用可以尽早的发现与诊断微小肝癌,有效的找到患者的病灶位置,操纵简单、方面且无创,重复性相对较好,不会对患者造成二次伤害,更容易被患者接受,因此可以将超声诊断作为肝硬化结节与微小肝癌的首选诊断与鉴别方法。

Objective To explore the clinical application of color Doppler ultrasound in the diagnosis and differentiation of hepatic cirrhosis nodules and microcarcinoma. Methods Twenty-three patients with cirrhosis nodules and 21 patients with microcarcinoma treated in our hospital from December 2017 to December 2018 were selected as the subjects of the experimental study. All patients were confirmed by the cases. All patients in the experimental study were diagnosed and differentiated by color Doppler ultrasonography, and their diagnostic and differential effects were explored and evaluated. Results There were significant differences in blood flow velocity, blood flow and hepatic artery diameter between patients with hepatic cirrhosis nodules and patients with microcarcinoma(P<0.05). In patients with hepatic cirrhosis nodules, color Doppler ultrasonography showed that the nodules were large and irregular or small, with increased echoes, small vessel structure, and no signal of peripheral blood flow, and no color Doppler energy imaging of microcarcinoma. Color Doppler ultrasonography showed that the number of nodules was less than 2 cm, the number of single lesions was more, and most of them were hypoechoic, round lesions, convenient and clear, abundant blood flow signals around them, and there were color Doppler energy imaging. Conclusion The application of color Doppler ultrasonography in the diagnosis and differentiation of hepatic cirrhosis nodules and microcarcinoma can discover and diagnose microcarcinoma as early as possible. It can effectively locate the focus of patients. The operation is simple, non-invasive and the repeatability is relatively good. It will not cause secondary injury to patients and is more acceptable to patients. Therefore, ultrasound diagnosis can be used as hepatic cirrhosis nodules and microcarcinoma. The first choice for diagnosis and differential diagnosis of small hepatocellular carcinoma.