超声造影诊断原发性肝癌术后肝内复发转移的价值.pdf

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1、——140——中国超声医学杂志2014年2月第30卷第2期ChineseJUltrasoundMedVo1．30No．2February2014超声造影诊断原发性肝癌术后肝内复发转移的价值叶显俊隋秀芳刘力刘卫勇何年安章生龙摘要目的探讨超声造影在原发性肝癌术后肝内复发转移的诊断价值。方法收集我院76例原发性肝癌术后肝内复发转移患者的影像学资料，对比分析超声造影、彩色多普勒超声及增强CT诊断复发转移灶的结果。结果彩色多普勒发现复发转移灶51个，增强CT发现复发转移灶77个，超声造影发现复发转移灶82个，病灶检出率彩色多普勒超声与超声造影差异有显

2、著性意义()(。：26．8，P<0．0001)，增强CT与超声造影差异无显著性意义(。一1．24，P>0．05)，但对长径

3、sinPrimaryHepatOcellularCarcinomaYeXianjun，SuiXiufang，LiuLi，eta1．DepartmentofUltrasound，theAnhuiProvincialHospital，AnhuiMedicalUniversity，Hefei，Anhui230001ChinaAbstract：ObjectiveToexplorethevalueofcontrast—enhancedultrasonographyforpostoperativeintrahepaticrecurrenceandmet

4、astasisinhepatocellularcarcinoma．Methods76casesofpostoperativepatientswithPrimaryhepatocellularcarcinomawerefollowedup，theresultofcontrast—enhancedu1trasonography，colorDopplerultrasoundandenhanced—CTdiagnosisofmetastaticrecurrencewerecomparedandanalyzed．Results51recurrentm

5、etastaseswerefoundbycolorDopplerultrasound，77recurrentmetastaseswerefoundbyenhancedCT，82recurrentmetastaticle—sionswerefoundbycontrast—enhancedu1trasonography，intermsof1esiondetectionrate，thedifferencesofcolorDopplerultrasoundandcontrast—enhancedultrasonographyweresignific

6、ant(Y。一26．8，P<0．0001)，enhanced—CTandcontrast—enhancedu1trason0graphywereunsignificant(一1．24，P>O．05)．0fthelesionslesserthan1cm，thesensitivityofcontrast-enhancedultrasonographyishigherthanthatinenhancedCT(Y一3．86，P<0．05)．Conclu—sionsContrast—enhancedultrasonographyhasimportan

7、tclinicalvalueinthediagnosisofpostoperativeintrahepaticre—currenceandmetastasisinprimaryhepatocellularcarcinoma。ifsareliablemethodtodetecttheintrahepaticrecurrenceandmetastaticlesionsofhepatocellularcarCinomaduringpostoperativefollow-up．Keywords：Primaryhepatocellularcarcin

8、oma，Recurrence，Metastasis，Utrasonicinspection，Contrast—en—hancedultrasonography原发性肝癌术后复发转