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常规超声和超声造影检查诊断肝内胆管细胞癌
引用本文:陈姣姣,何年安,房静,叶显俊,胡蕾,王磊. 常规超声和超声造影检查诊断肝内胆管细胞癌[J]. 实用肝脏病杂志, 2021, 24(2): 272-275. DOI: 10.3969/j.issn.1672-5069.2021.02.031
作者姓名:陈姣姣  何年安  房静  叶显俊  胡蕾  王磊
作者单位:230001 合肥市 安徽医科大学附属安徽省立医院超声医学科
摘    要:目的 探讨肝内胆管细胞癌(ICC)常规超声和超声造影(CEUS)表现.方法 本组纳入52例ICC患者,常规行超声和CEUS检查,组织病理学诊断.结果 灰阶超声表现为均匀低回声者23例(44.2%,不均匀低回声者22例(42.3%),稍高和高回声者7例(13.5%);彩色多普勒血流(CDFI)表现为0级11例(21.2%...

关 键 词:肝内胆管细胞癌  超声检查  多普勒超声  超声造影  诊断
收稿时间:2020-11-11

Conventionaland contrast-enhanced ultrasonography manifestations of intrahepatic cholangiocarcinoma
Chen Jiaojiao,He Nian’an,Fang Jing,et al. Conventionaland contrast-enhanced ultrasonography manifestations of intrahepatic cholangiocarcinoma[J]. Journal of Clinical Hepatology, 2021, 24(2): 272-275. DOI: 10.3969/j.issn.1672-5069.2021.02.031
Authors:Chen Jiaojiao  He Nian’an  Fang Jing  et al
Affiliation:Department of Ultrasound, Provincial Hospital Affiliated to Anhui Medical University, Hefei, 230001,Anhui Province,P.R. China
Abstract:Objective The aim of this study was to summarize the conventional and contrast-enhanced ultrasonography(CEUS)manifestations of intrahepatic cholangiocarcinoma(ICC).Methods 52 patients with ICC were recruited in our hospital,and all underwent conventional and CEUS check-up.Results The gray-scale ultrasonography showed than the tumors presented with uniform hypoechoic in 23 cases(44.2%),uneven hypoechoic in 22 cases(42.3%),slightly hyperechoic and hyperechoic in 7(13.5%);the color Doppler flow imaging showed that the blood supply of lesions was in grade 0 in 11 cases(21.2%),in grade 1 in 9 cases(17.3%),in grade 2 in 28 cases(53.8%),and in grade 3 in 4 cases(7.7%);out of 51 eligible cases of ICC,the CEUS demonstrated that the enhancement performance in arterial phase was in typeⅠ,e.g.rapid overall uniform enhancement,in 10 cases(19.6%),and in typeⅡ,e.g.rapid uneven enhancement,in 41 cases(80.4%),out of which,in subtypeⅡa,the overall uneven enhancement,in 19 cases(37.3%),in subtypeⅡb,the dendritic enhancement,in 9(17.6%),in subtypeⅡc,thick-walled irregular ring-like enhancement,in 6(11.8%),and in subtypeⅡd,ring-like and dendritic enhancement,in 7(13.7%).Conclusion ICCs have some CEUS characteristic features,which might help for the early diagnosis.
Keywords:Intrahepatic cholangiocarcinoma  Ultrasonography  Doppler ultrasound  Contrast-enhanced ultrasonography  Diagnosis
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