肝脏恶性肿瘤二维及彩色多普勒超声诊断分析

Diagnostic Value of Two-dimensional Ultrasound and Color Flow Imaging in Hepatic Malignant Tumor

目的 探讨二维及彩色多普勒超声对肝脏恶性肿瘤的诊断价值。方法 回顾性分析 2 99例肝脏恶性肿瘤的临床资料。结果 2 2 9例原发性肝癌中弥漫型 8例 ,块状型 12 3例 ,结节型 78例 ,小癌型 2 0例。 68例转移性肝癌来自 15个病灶。发现癌栓 70例。CDFI检查显示 ,94例原发性肝癌及 8例转移性肝癌病灶内可见搏动性血流 ,70例原发性肝癌及 3 3例转移性肝癌仅表现为瘤周供血。

Objective To explore the diagnostic value of two-dimensinal ultrasound and color Doppler flow imaging(CDFI) in hepatic malignant tumor.Methods The sonographic characteristics and clinical data of 299 patients with hepatic malignant tumor were studied retrospectively.Results 229 cases of primary hepatic carcinoma(PHC) were divided into diffused type(n=8),lumpy type(n=123),nodular type(n=78),and small type(n=20).68 cases of metastatic hepatic cancer(MHC) came from 15 primary lesions.Tumor thrombus were discovered in 70 cases.Pulsatory biood flow signals within the tumor were observed in 94 cases of PHC.The metastases lesions of MHC were mainly supplied by periphery flow pattern around tumor.Conclusion Two-dimensional ultrasound and CDFI play a key role in the diagnosis and differentiated diagnosis of hepatic malignanttumor.