超声造影对肝硬化合并小肝癌的早期诊断价值

目的 探讨超声造影对肝硬化合并小肝癌的早期诊断价值.方法 选取肝硬化合并小肝癌患者40例,共计45个病灶,病灶最大径≤3 cm,使用常规超声和超声造影对病灶分别进行诊断,分析其诊断结果.结果 45个病灶中38个中-低分化癌动脉期明显增强,7个病灶高分化癌动脉期明显增强;超声造影、常规超声与增强CT诊断的正确率分别为90.0%、77.5%、82.5%.结论 对肝硬化合并小肝癌的早期诊断中,超声造影可以在一定程度上提高早期诊断率,为临床研究提供有价值的参考意见.

Ultrasonic Imaging in the Early Diagnosis of Small Hepatocellular Carcinoma with Liver Cirrhosis

Objective To explore the ultrasonic imaging in the early diagnosis of small hepatocellular carcinoma with liver cirrhosis.Methods 40 cases of small hepatocellular carcinoma with liver cirrhosis were selected ,there were 45 lesions in all patients,lesion size ≤3 cm,Conventional ultrasound and contrast-enhanced ultrasound were used to detected the lesions ,and the results were compared .Results Among 45 lesions,there had 38 mid-low carcinoma arterial enhancement ,7 lesions had well-differentiated carcinoma arterial enhancement .Diagnostic accuracy of contrast-enhanced ultrasound ,conventional ultrasound and enhanced CT were 90.0%,77.5%,82.5%.Conclusion Contrast -enhanced ultrasound can improve the early diagnostic accu-racy of hepatocellular carcinoma with liver cirrhosis ,giving contrast-enhanced ultrasound can improve the diagnosis of disease to a certain extent ,and provide valuable references for clinical study .