慢性血吸虫病合并肝癌超声图象分析  

THE SONOGRAPHIC CHARACTERISTICS OF SCHISTOSOMIAL HEPATIC FIBROSIS ACCOMPANIED BY HEPATIC CARCINOMA

作　　者：张友耿[1] 张青萍[1] 朱明华[1] 黎春蕾[1] 邹亚红 

机构地区：[1]同济医科大学附属同济医院超声波诊断室,武汉430022

出　　处：《中国血吸虫病防治杂志》1993年第1期20-22,65,共4页Chinese Journal of Schistosomiasis Control

摘　　要：对确诊慢性血吸虫病合并肝癌34例(其中9例手术证实)进行超声图象分析:血吸虫病肝病变左叶较明显,合并肝癌时肝肿块右叶及左、右叶同时发生多见,肿块数目两个以上占55.9％;肿块周围有低回声声晕和呈光带包绕的光轮征。下列情况提示合并肝癌:1 肝内出现肿块图象呈低回声或强回声,该区网络状光带消失或为杂乱回声所替代;2 肿块周围有声晕或光轮征;3 门静脉内出现异常光团;4 肿块内有动脉频谱。The sonographies of 34 patients with schistosomial hepatic fibrosis accompanied by hepatic carcinoma were analysed retrospectively. The characteristics are listed as follows: 1. The schistosomial change is more obvious in left lobe of liver, while the hepatic carcinoma-tous change is usually seen in the right lobe or both right and left lobes (the latter is more common, 76%) : 2. Most cases (55. 9%) have more than two tumors; 3. There are two sonographic features around tumors: hypoechoic holo or hyperechcic rim; 4. The reticular structure caused by schistosomiasis disappeared partially and was substituted by hypoechoic or hyperecnoic zones, or the original reticular structure changed into irregular structure in disorder; 5. Mass in seen in portal vein or it's branches; 6. With Doppler ultrasound, the pulsatile blood flow signal within the tumor can be detected. The above sonographic features are useful for diagnosis of hepatic carcinoma in patients with chronic schistosomial hepatic fibrosis.

关 键 词：血吸虫病 肝癌 超声波诊断 

分 类 号：R532.21[医药卫生—内科学]