声学造影对肝动-静脉渡越时间临床意义的初步研究  

Pilot Study in Clinical Value of Hepatic Artery to Vein Transit Time with Contrast-Enhanced Ultrasound

作　　者：李安华[1] 周建华[1] 裴小青[1] 韩峰[1] 陈孝岳[1] 

机构地区：[1]中山大学附属肿瘤医院超声科,广州市510060

出　　处：《中国超声医学杂志》2005年第8期601-603,共3页Chinese Journal of Ultrasound in Medicine

摘　　要：目的探讨正常人与肝弥漫性和局灶性占位病变患者肝动-静脉渡越时间的同异,及其临床意义。方法病例组20例,其中局灶性脂肪肝3例,肝血管瘤4例,肝转移癌8例,肝硬化5例。正常对照组10例。经肘静脉团注造影剂后分别利用ACQ时间-强度曲线分析软件对各组的肝动脉到达时间(hepaticarteryarrivingtime,HAAT)、肝静脉到达时间(hepaticveinarrivingtime,HVAT)、肝动-静脉渡越时间(hepaticarterytoveintransittime,HA-HVTT)进行测定、分析。结果各组的肝动脉到达时间无明显差异。肝转移瘤与肝硬化的肝静脉到达时间缩短,与正常组比较有显著性差异。其肝动-静脉渡越时间与正常组相比明显缩短,有极其显著性差异。结论肝动-静脉渡越时间的缩短对鉴别肝硬化和肝转移性肿瘤有明确的临床价值。Objective To explore the difference and value of the hepatic artery-hepatic vein transit time among the hepatic diffuse diseases and focal lesions with the control group. Methods There are 20 cases in the study group, which including 3 focal fatty liver, 4 haemangiomas, 8 metastases, 5 cirrhosis and 10 case normal in control group. Hepatic artery arriving time （HAAT）. Hepatic vein arriving time （HVAT）, and Hepatic artery to vein transit time （HA-HVTT） were analysed by using ACQ Time-Intensity Curve Analysis software after left median cubital vein rapid injection SonoVue. Results No significant difference was found in each group in HAAT. Little shorter was found in cirrhotic and metastases group in HVAT. There is significant difference of the HA-HVTT between the study group and then control group. Conclusions The shorted of HA-HVTT have clinic value in distinguishing cirrhosis and metastases.

关 键 词：声学造影 肝动-静脉渡越时间 肝硬化 肝转移瘤 

分 类 号：R445.1[医药卫生—影像医学与核医学]