肝脏恶性肿瘤二维及彩色多普勒超声诊断分析

目的 探讨二维及彩色多普勒超声对肝脏恶性肿瘤的诊断价值。方法 回顾性分析299例肝脏恶性肿瘤的临床资料。结果 229例原发性肝癌中弥漫型8例，块状型123例，结节型78例，小癌型20例。68例转移性肝癌来自15个病灶。发现癌栓70例。CDFI检查显示，94例原发性肝癌及8例转移性肝癌病灶内可见搏动性血流，70例原发性肝癌及33例转移性肝癌仅表现为瘤周供血。结论 二维及彩色多普勒超声在肝脏恶性肿瘤的诊断和鉴别诊断中有重要的临床应用价值。

Diagnostic Value of Two-dimensional Ultrasound and Color Flow Imaging in Hepatic Malignant Tumor

Objective To explore the diagnostic value of two-dimensinal ultrasound and color Doppler flow imaging(CDFI) in hepatic malignant tumor.Methods The sonographic characteristics and clinical data of 299 patients with hepatic malignant tumor were studied retrospectively.Results 229 cases of primary hepatic carcinoma(PHC) were divided into diffused type(n=8),lumpy type(n=123),nodular type(n=78),and small type(n=20).68 cases of metastatic hepatic cancer(MHC) came from 15 primary lesions.Tumor thrombus were discovered in 70 cases.Pulsatory biood flow signals within the tumor were observed in 94 cases of PHC.The metastases lesions of MHC were mainly supplied by periphery flow pattern around tumor.Conclusion Two-dimensional ultrasound and CDFI play a key role in the diagnosis and differentiated diagnosis of hepatic malignanttumor.