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原发性肝细胞癌的超声特点与病理分化程度的关系
引用本文:丁雪明,李智贤,庞彩霞,廖新红,杨红. 原发性肝细胞癌的超声特点与病理分化程度的关系[J]. 广西医科大学学报, 2009, 26(1): 4-6
作者姓名:丁雪明  李智贤  庞彩霞  廖新红  杨红
作者单位:广西医科大学第一附属医院超声科,南宁,530021;广西医科大学第一附属医院超声科,南宁,530021;广西医科大学第一附属医院超声科,南宁,530021;广西医科大学第一附属医院超声科,南宁,530021;广西医科大学第一附属医院超声科,南宁,530021
基金项目:国家科技支撑计划,广西医疗卫生重点项目 
摘    要:目的:研究原发性肝细胞癌(hepatocellular carcinoma,HCC)的超声特点与病理分化程度的关系,提高超声对HCC的诊断水平。方法:对98例手术证实为HCC的患者术前106个癌结节的二维超声(2DUS)及彩色多普勒超声(CDFI)表现进行回顾性分析,并与术后病理结果的分化程度进行对比研究。结果:2DUS表现中,高分化和中分化的瘤体回声以低回声为主,而低分化则以稍强回声表现为主;癌结节的分化程度与肿瘤的大小之间差异有统计学意义(P〈0.05),分化程度随着肿块的增大而呈降低的趋势;CDFI表现中,癌结节的血流分布与肿瘤的大小之间差异有统计学意义(P〈0.05),血流丰富程度随着肿块的增大而增高,而其与病理分化程度之间差异无统计学意义(P〉0.05),肿瘤血供多少还不能说明其分化程度的高低。结论:HCC的2DUS及CDFI表现有一定的特征,是临床诊断HCC首选的影像学技术,尤其适宜在基层卫生医疗机构推广。

关 键 词:肝细胞性肝癌  超声  病理

CORRELATION BETWEEN ULTRASONIC IMAGING AND PATHOLOGIC DIFFERENTIA-TION IN PRIMARY HEPATOCELLULAR CARCINOMA
Ding Xueming,Li Zhixian,Pang Caixia,et al.. CORRELATION BETWEEN ULTRASONIC IMAGING AND PATHOLOGIC DIFFERENTIA-TION IN PRIMARY HEPATOCELLULAR CARCINOMA[J]. Journal of Guangxi Medical University, 2009, 26(1): 4-6
Authors:Ding Xueming  Li Zhixian  Pang Caixia  et al.
Affiliation:Ding Xueming,Li Zhixian,Pang Caixia,et al.(Department of Ultrasound,First Affiliated Hospital,Guangxi Medical University,Nanning 530021 China)
Abstract:Objective:To compare the ultrasonic imaging pattern of primary hepatocellular carcinoma(HCC) with degree of pathologic differentiation and enhance the diagnostic skill of HCC by ultrasound.Methods:Ninety-eight patients with 106 nodules of HCC were obtained by surgical hepatectomy.After confirmed by pathology,their imaging of two-dimensional ultrasound (2DUS) and color doppler flow imaging (CDFI) and corresponding pathologic differentiation were contrastively analysed.Result:Both well and moderately differen...
Keywords:hepatocellular carcinoma  ultrasound  pathology  
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