彩色多普勒超声在原发性肝癌和肝血管瘤鉴别诊断中的价值

The Value of Differential Diagnosis between Primary Liver Carcinoma and Hepatic Hemangioma with Dopple

目的 探讨彩色多普勒血流成像 (CDFI)、多普勒能量图 (CDPI)、多普勒阻力指数 (RI) ,在原发性肝癌 (HCC)与肝血管瘤早期鉴别诊断中的价值。方法 通过 6 0例原发性肝癌和 4 7例肝血管瘤之间CDFI、CDPI、RI对比分析 ,比较各组CDFI、CDPI、RI特点。结果 原发性肝癌组CDFI显示率为 98.3% ,肝固有动脉和肿块内部及周边的动脉血流RI分别为 0 .6 6± 0 .0 4 ,0 .6 4± 0 .0 7;肝血管瘤组CDFI显示率为 4 5 %、肝固有动脉和肿块内部及周边的动脉血流RI分别为 0 .5 6± 0 .0 3、0 .5 3± 0 .0 5。结论 CDFI,CDPI 。

Objective To study the value of differential diagnosis between primary liver carcinoma and hepatic hemangioma with Doppler resistant index(RI),color Doppler fluid imagine(CDFI),clolor Doppler power index(CDPI).Methods The trait of CDFI,CDPI and RI were contrastively analysed in 60 primary liver carcinoma and 47 hepatic hemangioma.Results In group of primary liver carcinoma,the positive rate of CDFI was 98.3%,the RI of proper hepatic artery and inside and around lump were 0.66±0.04 and 0.64±0.07 respectively.In group of hepatic hemangiona,the positive rate of CDFI was 45%,the RI of proper hepatic artery and inside and around lump were 0.56±0.03 and 0.53±0.05 respectively.Conclusion CDFI,CDPI and RI play an important role in differential diagnosis between primary liver carcinoma and hepatic hemangioma.