彩色多普勒超声诊断肝胆管细胞癌和肝细胞肝癌的临床特征  

Clinical features of color Doppler ultrasound in the diagnosis of cholangiocarcinoma and hepatocellular carcinoma

作　　者：李芳 任晓琪 LI Fang;REN Xiaoqi(Hanzhong Second People's Hospital,Hanzhong 723000,China)

机构地区：[1]陕西省汉中市第二人民医院,陕西汉中723000

出　　处：《临床医学研究与实践》2021年第22期120-121,127,共3页Clinical Research and Practice

摘　　要：目的分析彩色多普勒超声诊断肝胆管细胞癌和肝细胞肝癌的临床特征。方法选取2016年1月至2020年1月在本院经手术病理证实的肝脏恶性肿瘤患者80例,其中肝细胞肝癌40例为观察组、肝胆管细胞癌40例为对照组。分析彩色多普勒超声诊断两组患者的临床特征,进一步明确超声在两组中的诊断价值。结果彩色多普勒超声对肝细胞肝癌的诊断符合率为95.00%(38/40),多发和单发情况无显著差异(P>0.05);患者的肿块内部血供丰富、阻力指数均>0.75。彩色多普勒超声诊断肝胆管细胞癌的符合率为75.00%(30/40),多数为单发,患者肝内伴有不规则的低回声区域、肿块无边界、内部血供不丰富。肝胆管细胞癌受侵门静脉在患者肿瘤周围,显示血管内均具有实体充填,同时肿块无明显边界、无包膜,肝内伴有低回声、且不规则;患者血管内部不丰富、病变处门静脉分支不清晰,血管穿行变窄。结论彩色多普勒超声诊断肝细胞肝癌与肝胆管细胞癌的价值明确,能进行鉴别分析,明确疾病类型。Objective To analyze the clinical features of color Doppler ultrasound in the diagnosis of cholangiocarcinoma and hepatocellular carcinoma.Methods From January 2016 to January 2020,80 patients with malignant tumor of liver confirmed by surgery and pathology in our hospital were selected,including 40 cases of hepatocellular carcinoma as observation group and 40 cases of cholangiocarcinoma as control group.The clinical features of color Doppler ultrasound in the diagnosis of patients of both groups were analyzed,and further clarify the diagnostic value of ultrasound in the two groups.Results The diagnostic coincidence rate of color Doppler ultrasound for hepatocellular carcinoma was 95.00%(38/40),and there was no significant difference in the diagnosis of multiple and single event(P>0.05);the internal blood supply of the tumor was abundant,and the resistance index was more than 0.75.The diagnostic coincidence rate of color Doppler ultrasound for cholangiocarcinoma was 75.00%(30/40),most of them were single,with irregular hypoechoic areas in the liver,borderless and poor blood supply in the mass.Cholangiocarcinoma invaded the portal vein around the tumor,showing solid filling in the blood vessels;at the same time,the mass had no obvious boundary and capsule,and hypoechoic and irregular in the liver;the internal blood vessels of the patients were not rich,the branches of portal vein were not clear,and the blood vessels became narrow.Conclusion Color Doppler ultrasound in the diagnosis of hepatocellular carcinoma and cholangiocarcinoma has clear value,which can be used for differential analysis and identify disease types.

关 键 词：彩色多普勒超声 肝胆管细胞癌 肝细胞肝癌 临床特征 

分 类 号：R735.7[医药卫生—肿瘤]