超声显像对甲胎蛋白阴性肝癌的诊断价值  

Diagnostic Value of Ultrasonic Imaging in AFP-negative Hepatoma

作　　者：朱小琳[1] 朱士兰[1] 黄红兵[1] 王墨荣[1] 黄兴耀[1] 

机构地区：[1]江苏启东肝癌研究所

出　　处：《天津医药》1991年第3期141-143,共3页Tianjin Medical Journal

摘　　要：本文分析了281例肝占位性病变的 B 型超声诊断资料。B 超对甲胎蛋白(AFP)阴性和低浓度肝癌的定性准确率为91.9%(90/99),定位准确率为84.8%(78/92)。274例肝癌中肿瘤直径>5cm、<5cm、<3cm 的 AFP 阴性和低浓度肝癌分别占33.7%(9/274)、39.3%(13/33)、44.4%(4/9),皆由 B 超检查而确诊。本文结果提示:B 超检查可弥补 AFP 检测的不足,对于小肝癌、AFP 阴性肝癌具有定性、定位诊断的双重价值。此外,本文还对肝癌与血管瘤的鉴别诊断进行了声像图分析。Two hundred and eighty one'cases of space-occupying lesions of the liver dia-gnosed by B-mode ultrasonography were analysed.Accuracy rate of ultrasonographyin diagnosis of liver cancer with negative alpha-fetoprotein(AFP)or low levelAFP was.91.9%(90/99),and in its localization was 84.8%(78/92)in the series.Among 274 cases of hepatocellular carcinoma(HCC),49(17.9%)were AFP negativeand 43 cases(15.8%)with low level AFP(21-400 ng/ml).They were identified byultrasonography.It was suggested that ultrasonography examination might solve the problem ofmissing AFP negative HCC.It was indicated that ultrasonography examinationshould be the first method of choice to diagnosis of HCC with negative AFP orlow level AFP.

关 键 词：肝癌 甲胎蛋白 超声检查 

分 类 号：R735.704[医药卫生—肿瘤]