【摘要】 目的:探讨超声造影对原发性肝癌的诊断价值。方法:选取2010-03-01-2012-03-30解放军第208医院收治的31例原发性肝癌患者,回顾性分析31例原发性肝癌患者行超声造影检查的临床资料。结果:78.6%(22/28)肝细胞肝癌表现为"快进快出"的造影模式,且肿瘤分化程度越低,"快进快出"的表现越明显;3例肝内胆管细胞癌均表现为"快进快出",主要表现为动脉期病灶呈周边环状不规则高增强,内部呈现网格样高增强或无增强。门脉期增强消退。常规超声与超声造影对原发性肝癌诊断的敏感性分别为72.4%和93.5%,差异有统计学意义,χ2=6.125,P=0.013。结论:原发性肝癌的超声造影动态模式有显著特征,超声造影可提高原发性肝癌的诊断率。更多还原

【Abstract】 OBJECTIVE:To discuss the diagnosis value of CEUS in primary liver carcinoma.METHODS:Thirty-one cases of primary liver cancer patients were selected during 2010-03-2012-03in the No.208hospital of China PLA,and their clinical data and CEUS examination were retrospectively analyzed.RESULTS:Totally 22(78.6%)of HCC were "fast-in and fast-out",which was much obviously observed in poorly differentiated cases.The enhancement pattern presented"fast-in and fast-out";Three(100.0%)of ICC were"fast-in and fast-out".Rim-like hyperechoic enhancement in the arterial phase was found with net-shaped hyperechoic enhancement interior or without centripetal filling in.Hypoechoic enhancement was observed in portal phase.The sensitivities of conventional ultrasound and CEUS were 72.4% and 93.5%,and there was a statistically difference(χ 2=6.125,P=0.013).CONCLUSION:CEUS dynamic model of primary liver carcinoma has significant characteristics,contrast-enhanced ultrasound can increase the diagnostic rate of primary liver cancer.更多还原