超声造影技术对肝细胞肝癌血管受侵情况及可切除性的应用研究  

Application of Contrast-enhanced Ultrasonography in Vascular Invasion and Resectable Properties of Hepatocellular Carcinoma

作　　者：王影[1] 胡海峰[1] 刘慧临 周丹丹 邓佳佳[1] 李璐 郑春雷[1] WANG Ying;HU Haifeng;LIU Huilin;ZHOU Dandan;DENG Jiajia;LI Lu;ZHENG Chunlei(Department of Ultrasonography,the Second Affiliated Hospital of Qiqihar Medical College,Qiqihar,Heilongjiang Province,161006 China)

机构地区：[1]齐齐哈尔医学院附属第二医院超声科,黑龙江齐齐哈尔161006

出　　处：《世界复合医学》2023年第2期85-88,共4页World Journal of Complex Medicine

基　　金：齐齐哈尔医学科学院面上基金项目(QMSI2019M-33)。

摘　　要：目的探讨应用超声造影技术评估肝细胞肝癌血管受侵情况及肿瘤可切除性的准确性。方法选取2020年1月—2021年6月齐齐哈尔医学院附属第二医院收治的120例肝癌患者作为研究对象,分别于术前进行超声造影检查和彩色多普勒超声检查,对比评估不同检查方法对肝癌病灶血管受侵犯情况及临床的可切除性,以病理结果为金标准,分析两种检查的敏感性、特异性及准确率。结果超声造影检查评估肝细胞肝癌血管侵犯的灵敏度为95.2%,特异度为94.3%,高于彩色多普勒超声检查的84.7%、74.3%,差异有统计学意义(χ^(2)=11.414、10.636,P<0.05);超声造影检查对肝癌病灶手术可切除性评价的准确率显著高于彩色多普勒超声检查,差异有统计学意义(χ^(2)=10.678,P<0.05)。结论应用超声造影技术能够准确评价肝细胞肝癌血管受侵情况,为肝癌病灶的手术切除方案的制定提供重要依据。Objective To evaluate the accuracy of hepatocellular carcinoma vascular invasion and resectable tumor by contrast-enhanced ultrasonography.Methods A total of 120 patients with liver cancer admitted to the Second Affiliated Hospital of Qiqihar Medical College from January 2020 to June 2021 were selected as the study subjects.All undergo contra-enhanced ultrasonography and color Doppler ultrasonography before surgery.Vascular invasion of liver cancer foci by different examination methods and their clinical resections were compared and evaluated.The sensitivity and specificity of the two tests were analyzed with pathological results as the gold standard.Results The sensitivity and specificity of assessing vascular invasion in hepatocellular carcinoma were 95.2%and 94.3%,were higher than the 84.7%and 74.3%examined by color Doppler ultrasound,the difference was statistically significant(χ^(2)=11.414,10.636,P<0.05).The accuracy of CEUS in evaluating the resectable liver cancer lesions was significantly higher than that of color Doppler ultrasonography,and the difference was statistically significant(χ^(2)=10.678,P<0.05).Conclusion The application of contrast-enhanced ultrasonography technique can accurately evaluate the vascular invasion of hepatocellular carcinoma,providing an important basis for the formulation of surgical resection of hepatocellular carcinoma lesions.

关 键 词：超声造影 彩色多普勒超声 肝细胞肝癌 血管受侵 可切除性 

分 类 号：R445.1[医药卫生—影像医学与核医学]