彩色多普勒超声在原发性肝癌与肝低回声血管瘤鉴别诊断中的价值  

The value of color doppler ultrasound in differential diagnosis of primary hepatocellular carcinoma and liver hemangioma with low echo

作　　者：黄汝哨 王丹霞[1] Huang Rushao;Wang Danxia(The First Hospital of Longyan Affiliated to Fujian Medical University 364000)

机构地区：[1]福建医科大学附属龙岩第一医院,364000

出　　处：《中国社区医师》2016年第11期127-128,共2页Chinese Community Doctors

摘　　要：目的:探讨彩色多普勒超声在鉴别诊断原发性肝癌和肝低回声血管瘤的临床价值。方法:收治原发性肝癌患者70例作为观察组1,肝低回声血管瘤患者70例作为观察组2,对比分析两组患者的彩色多普勒超声检查结果。结果:观察组1的彩色多普勒超声表现为边缘不清、形态不规则、内部回声不均匀,并且可见占位效应;观察组2的超声表现为圆形或椭圆形,边界清晰,形态规则,内部有不规则的"="状的回声,外周有高回声围绕,瘤体的后方轻度增强,未见占位效应。上述差异具有统计学意义(P<0.05)。结论:彩色多普勒超声对于临床鉴别诊断原发性肝癌和肝低回声血管瘤具有一定的临床应用价值。Objective:To explore the value of color doppler ultrasound in differential diagnosis of primary hepatocellularcar cinoma and liver hemangioma with low echo.Methods:70 patients with primary liver cancer were selected as the observation group 1,70 patients with liver hemangioma with low echo were selected as the observation group 2.We compared the results of color doppler ultrasonography of the two groups.Results:In the color doppler ultrasound of observation group 1,edge was not clear;shape was irregular;the internal echo was not uniform;there was occupying effect.In the color doppler ultrasound of observation group 2,the shape was round or oval;the boundary was clear;the form was regular;there was irregular echo as “=” shape in it;there was high echo around it;it was mild enhancement at the rear of the tumor;there was no occupying effect.These differences were statistically significant(P < 0.05).Conclusion:Color doppler ultrasound had certain clinical application value in differential diagnosis of primary hepatocellular carcinoma and liver hemangioma with low echo.

关 键 词：彩色多普勒超声 原发性肝癌 肝低回声血管瘤 鉴别诊断 

分 类 号：R445.1[医药卫生—影像医学与核医学] R735.7[医药卫生—诊断学]