腹部超声在原发性肝癌患者中的诊断价值及对预后的影响研究

Diagnostic value of abdominal ultrasound in patients with primary liver cancer and its impact on prognosis

目的:探讨腹部超声在原发性肝癌患者中的诊断价值及对预后的影响。方法:取2015年8月-2016年8月在我院经临床病理证实的原发性肝癌患者100例,对其进行腹部超声检查并进行为期1年的随访,探讨腹部超声对原发性肝癌的检出情况及对预后的影响。性肝癌的检出情况及对预后的影响。结果:100例患者采用腹部超声共检出159处病灶,检出率为95.21%;91例患者100作出原发性肝癌定性诊断,诊断率为91%,另有3例患者未作出定性诊断,6例患者漏诊,漏诊率为6%;按病理分型共检出块状型病灶93处(58.49%)、结节型56处(35.22%)、弥漫型10处(6.29%)。对入选患者进行为期1年的随访,6个月后患者死亡5例,死亡率为5%;12个月后患者死亡13例,死亡率为13%。结论:腹部超声诊断原发性肝癌操作方便、准确性较高,可减少误诊情况,为早期发现和治疗提供理论依据,从而降低患者的死亡率,值得推广应用。

Objective Objective To investigate the diagnostic value of abdominal ultrasound in patients with primary liver cancer and its influence on prognosis. ancer and its influence on prognosis. Methods Methods From August 2015 August-2016 in our hospital confirmed by pathology of 100 cases of primary liver cancer patients, abdominal ultrasonography was performed on and for a period of 1 years of follow-up, to investigate the effects of abdominal ultrasonography in detection and prognosis of primary hepatocellular carcinoma. llular carcinoma. Results Results 100 patients with abdominal ultrasonography detected 159 lesions, the detection rate was 95.21%; 91 cases of primary liver cancer patients make qualitative diagnosis, the diagnostic rate was 91%, 3 cases were not diagnosed, 6 cases were misdiagnosed, the misdiagnosis rate was 6%; according to the pathological type were ere not diagnosed, 6 cases were misdiagnosed, the misdiagnosis rate was 6%; according to the pathological type were massive type 93 lesions(58.49%), 56(35.22%) of nodular type and diffuse type 10(6.29%). The patients were followed up for 1 years. After 6 months, 5 patients died, with a mortality rate of 5%; 12 months later, 13 patients died, with a mortality of 13%. mortality of 13%. Conclusion Conclusion Abdominal ultrasound diagnosis of primary liver cancer is easy to operate, high accuracy, can reduce misdiagnosis, and provide theoretical basis for early detection and treatment, thereby reducing the mortality of patients, it is worthy of popularization and application.of patients, it is worthy of popularization and application.