超声在预测不同部位肝细胞肝癌术后复发率中的诊断价值  

The Diagnostic Value of Ultrasonography in Forecasting Hepatocellular Carcinoma Recurrence Rate of Liver's Different Parts

作　　者：张海春[1] 王怡[2] 胡蓉菲[1] 梁水庭[3] 梁雪婧[3] 

机构地区：[1]复旦大学附属华山医院宝山分院超声科 [2]复旦大学附属华山医院超声医学科 [3]广西医科大学第一附属医院肝胆外科

出　　处：《中国医学计算机成像杂志》2014年第6期548-550,共3页Chinese Computed Medical Imaging

摘　　要：目的:应用超声观察不同部位肝细胞肝癌的声像图特征,评估超声检查在预测不同部位的肝细胞肝癌术后复发率中的诊断价值。方法:收集经过手术切除、且有术后随访结果的肝细胞肝癌178例,依据其不同发病部位进行分组,对肿块进行超声评估,使用卡方检验分析不同声像图特征组间肿瘤复发率的差异。结果:不同发病部位、大小及边界组肿瘤术后复发率有统计学差异。不同血供组肿瘤复发率无统计学差异。结论:超声检查通过分析肿块的声像图特征,可以在术前帮助预测患者术后复发率及判断预后,并可以为不同部位肝细胞肝癌的治疗方案的提供参考。Purpose： Using ultrasound to observe the sonographic characteristics of hepatocellular carcinoma, evaluate the diagnostic value of ultrasonography in forecasting the cancer recurrence rate on liver＇ s different parts. Methods： One hundred and seventy-eight hepatocellular carcinoma cases with surgery excision and follow-up visits were enrolled and grouped according to the diseased locations. Ultrasound was used to observe the tumor. Chi-square statistics was use to analyze the difference of recurrence rate among those groups with different sonographic characteristics. Results： The location, size and border of the tumor had the statistical significance to the liver cancer＇ s recurrence rate; the blood supply of tumor did not have the statistical significance to the liver cancer＇ s recurrence rate. Conclusion： Use ultrasonography to analyze the sonographic characteristics of tumor can help to predict the recurrence rate before surgery, and provide help to select treatment option for hepatocellular carcinoma.

关 键 词：肝细胞肝癌 复发 部位 超声 诊断 

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