超声评价肝脏血管周上皮细胞肿瘤与肝细胞肝癌及肝血管瘤的临床特征  

Ultrasonography was used to evaluate the clinical features of hepatic perivascular epithelial tumor,hepatocellular carcinoma and hepatic hemangioma

作　　者：毕慧 李粒[1] 曾晓蓉 喻英 欧亮[1] BI Hui;LI Li;ZENG Xiao-rong(Functional department of Leshan Hospital of traditional Chinese medicine(Leshan,Sichuan,614000),China)

机构地区：[1]四川省乐山市中医医院功能科,四川乐山614000

出　　处：《中西医结合肝病杂志》2023年第5期411-414,共4页Chinese Journal of Integrated Traditional and Western Medicine on Liver Diseases

摘　　要：目的:研究超声评价肝脏血管周上皮细胞肿瘤(PEcoma)与肝细胞肝癌及肝血管瘤的临床特征。方法:受试者选择2018年4月至2021年4月医院收治的80例肝占位性疾病患者,其中包括肝脏PEcoma、肝癌以及肝血管瘤,分别为8例、38例、34例。回顾性分析上述3类疾病患者一般资料、超声和超声造影特征,并分析超声诊断PEcoma的效能。结果:肝癌组男性患者占比高于PEcoma组及肝血管瘤组,且PEcoma组男性患者占比高于肝血管瘤组;肝癌组患者年龄、AFP以及HBsAg均高于PEcoma组及肝血管瘤组(均P<0.05)。肝癌组边界清晰占比低于肝血管瘤组;PEcoma组、肝癌组病灶形态规则、高回声边缘占比均低于肝血管瘤组;PEcoma组、肝血管瘤组病灶低回声晕、内部回声均匀占比均低于肝癌组,而低回声、后方回声增强占比均高于肝癌组;PEcoma组、肝癌组单发病灶占比高于肝血管瘤组;PEcoma组点状或短线状强回声占比高于肝癌组、肝血管瘤组(均P<0.05)。肝血管瘤组AT、TTP及BTF均高于PEcoma组、肝癌组,且PEcoma组BTF高于肝癌组BTF(均P<0.05);PEcoma组、肝癌组的AT、TTP对比差异不明显(均P>0.05)。以病理诊断结果为金标准,超声诊断肝脏PEcoma的灵敏度、特异度以及准确度分别为87.50%(7/8)、97.22%(70/72)、96.25%(77/80)。结论:超声评价肝脏PEcoma、肝细胞肝癌及肝血管瘤的价值较高,值得临床推广应用。Objective:To study the clinical characteristics of the hepatic perivascular epithelial tumor(PEcoma)and other liver diseases evaluated by ultrasound.Methods:Eighty patients with liver disease admitted to the hospital from April 2018 to April 2021 were selected as subjects.There were eight cases of liver PEcoma,38 cases of liver cancer,and 34 cases of hepatic hemangioma.The general data,characteristics of ultrasound,and contrast-enhanced ultrasound were retrospectively analyzed,and the efficacy of ultrasound in the diagnosis of PEcoma was analyzed.Results:The proportion of males in the liver cancer group was higher than that in PEcoma group and hepatic hemangioma group,and the proportion of males in PEcoma group was higher than that in the hepatic hemangioma group.Age,AFP,and HBsAg in the liver cancer group were higher than those in PEcoma group and liver hemangioma group(P<0.05).The proportion of clear boundary in liver cancer group was lower than that in liver hemangioma group.PEcoma group and hepatocellular carcinoma group had lower proportion of regular morphology and high echo margin than hepatic hemangioma group.The proportion of low echo halo and uniform internal echo in PEcoma group and hepatic hemangioma group was lower than that in HCC group,while the proportion of low echo and enhanced posterior echo was higher than that in HCC group.The proportion of single lesion in PEcoma group and liver cancer group was higher than that in hepatic hemangioma group.The proportion of strong echo in punctured or short linear form in PEcoma group was higher than that in liver cancer group and hepatic hemangioma group(P<0.05).AT,TTP and BTF in hepatic hemangioma group were higher than those in PEcoma group and hepatoma group,and BTF in PEcoma group was higher than that in BTF(all P<0.05).There was no significant difference in AT and TTP between PEcoma group and liver cancer group(P>0.05).The sensitivity,specificity and accuracy of ultrasonic diagnosis of liver PEcoma were 87.50%(7/8),97.22%(70/72),and 96.25%(77/80)respec

关 键 词：肝脏血管周上皮细胞肿瘤 肝癌 肝血管瘤 超声 临床特征 

分 类 号：R273[医药卫生—中西医结合]