CT联合超声造影诊断早期肝癌的效能评估

Evaluation on the Efficacy of CT Combined with Contrast-enhanced Ultrasound in the Diagnosis of Early Liver Cancer

目的探究CT联合超声造影对早期肝癌的诊断效果。方法回顾性分析2018年11月至2020年1月我院收治早期肝癌患者80例为研究对象,患者均进行肝穿刺活检、CT及超声造影诊断,比较两种诊断方式检查所需时间,以肝穿刺活检结果为"金标准",分析CT、超声造影及两者联合对早期肝癌的诊断效果。结果CT病灶检测时间及检查所需时间均显著低于超声造影,差异具有统计学意义(P<0.05);CT检查确诊57例,准确率为71.25%;超声造影检查确诊73例,准确率为91.25%;两者联合确诊80例,准确率为100%。结论CT与超声造影在早期肝癌诊断方面各有优劣,但CT联合超声造影对早期肝癌有较好的诊断作用。

Objective To explore the diagnostic effects of CT combined with contrast-enhanced ultrasound on early liver cancer.Methods 80 patients with early liver cancer admitted to our hospital from November 2018 to January 2020 were retrospectively analyzed and selected as study subjects.The patients were all diagnosed by liver biopsy,CT,and contrast-enhanced ultrasound,and the time required for the two diagnostic methods was compared.The liver biopsy result was used as the gold standard to analyze the diagnostic effects of CT,contrast-enhanced ultrasound,and the combination of the two on early liver cancer.Results The detection time of lesions and the time required for examination of CT were significantly lower than those of contrast-enhanced ultrasound(P<0.05).57 cases were diagnosed by CT examination with an accuracy rate of 71.25%.73 cases were confirmed by contrast-enhanced ultrasound with an accuracy rate of 91.25%.80 cases were diagnosed by the combination of the two with an accuracy rate of 100%.Conclusion CT and contrast-enhanced ultrasound have their own advantages and disadvantages in diagnosing early liver cancer,but CT combined with contrast-enhanced ultrasound has good diagnostic effects on early liver cancer.