肝动脉多普勒血流灌注指数在转移性肝癌诊断中的应用  

The Correlation with Hepatic Artery Doppler Perfusion Index and Hepatiic Metastasis

作　　者：何立全[1] 徐晓红[1] 陈雪松[1] 梁志勇[1] 

机构地区：[1]广东医学院附属医院,湛江524001

出　　处：《白求恩军医学院学报》2006年第2期83-84,共2页Journal of Bethune Military Medical College

摘　　要：目的探讨肝动脉多普勒血流灌注指数(DPI)与恶性肿瘤肝内转移的关系。方法应用彩色多普勒检测50例健康人,98例原发性肝癌患者、49例肝硬化患者及36例结肠癌肝内转移患者的DPI。结果原发性肝癌伴肝内转移组最高,其他依次为结肠癌肝内转移组、原发性肝癌组、对照组及肝硬化组(P<0.05);以DPI≥0.35作为判断恶性肿瘤肝转移的指标,对原发性肝癌的敏感度和特异性分别为97.87%和76.47%。结论检测肝动脉多普勒血流灌注指数,对临床鉴别恶性肿瘤是否出现肝转移有帮助。Objective To explore the correlation with hepatic artery Doppler perfusion index and hepatic metastasis. Methods It was determined that the hepatic artery Doppler perfusion index （DPI） of 50 health people,98 patients with primary liver cancer,49 patients with hepatocirrhosis and 36 patients with colon cancer and hepatic metastasis using multicolor. Results DPI was the highest in hepatic metastasis of primary hepatocarinoma group, in proper order of hepatic metastasis of colon cancer group, hepatocarcinoma group, normal control group and hepatocirrhosis group. If DPI≥0.35 was taken to diagnostic target of hepatic metastasis, sensitivity and specificity were 97.87% and 76.47% respeclively for hepatocarcinomal metastasis in the liver. Conclusion The results show that DPI is useful to diagnose hepatic metastasis of hepatocarcionoma.

关 键 词：超声检查 原发性肝癌 继发性肝癌 多普勒肝动脉血流灌注指数 

分 类 号：R735.7[医药卫生—肿瘤] R445.1[医药卫生—临床医学]