超声造影在单发转移性肝癌与肝脏孤立性坏死结节鉴别诊断中的价值

目的探讨超声造影对单发转移性肝癌（MHC）与肝脏孤立性坏死结节（SNNL）的鉴别诊断价值。方法对超声造影动脉相均呈＂环状＂增强的12例单发MHC和16例单发SNNL的超声图像进行回顾性分析,分别对两组患者年龄、病灶大小、二维灰阶超声及超声造影表现等进行对比。两组间计量资料比较采用两独立样本t检验,组内比较采用配对t检验。结果 MHC组的平均年龄显著高于SNNL组[（60.2±11.3）岁vs（41.0±9.1）岁],差异有统计学意义（t=4.970,P〈0.001）。MHC组病灶平均直径为（2.86±1.22）cm,SNNL组为（2.97±0.96）cm,两组差异无统计学意义（t=-0.269...

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Published in临床肝胆病杂志 Vol. 32; no. 7; pp. 1338 - 1341
Main Author 李晶 唐少珊 于宏伟
Format Journal Article
LanguageChinese
Published 中国医科大学附属盛京医院超声科,沈阳,110004%中国医科大学附属盛京医院外科,沈阳,110004 2016
Subjects
肝肿瘤
肿瘤转移
诊断,鉴别
超声检查,多普勒,彩色
肝肿瘤
超声检查,多普勒,彩色
肿瘤转移
liver neoplasms
neoplasm metastasis
diagnosis,differential
ultrasonography,Doppler,color
诊断,鉴别
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ISSN1001-5256
DOI10.3969/j.issn.1001-5256.2016.07.025

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Summary:目的探讨超声造影对单发转移性肝癌（MHC）与肝脏孤立性坏死结节（SNNL）的鉴别诊断价值。方法对超声造影动脉相均呈＂环状＂增强的12例单发MHC和16例单发SNNL的超声图像进行回顾性分析,分别对两组患者年龄、病灶大小、二维灰阶超声及超声造影表现等进行对比。两组间计量资料比较采用两独立样本t检验,组内比较采用配对t检验。结果 MHC组的平均年龄显著高于SNNL组[（60.2±11.3）岁vs（41.0±9.1）岁],差异有统计学意义（t=4.970,P〈0.001）。MHC组病灶平均直径为（2.86±1.22）cm,SNNL组为（2.97±0.96）cm,两组差异无统计学意义（t=-0.269,P=0.790）。MHC组病灶内部回声复杂、不均,边界以模糊为主;SNNL组病灶多以右叶多见,低回声为主,大部分边界清晰。两组病例彩色多普勒病灶内均未检出血流信号。超声造影动脉相,两组病灶周边均可见环状增强,MHC组平均厚度为（5.00±1.69）mm,SNNL组为（2.37±0.87）mm,两组比较差异有统计学意义（t=5.374,P〈0.001）;MHC组延迟相较动脉相病灶内无增强范围明显增大,差异有统计学意义（t=-4.508,P=0.001）。SNNL组延迟相与动脉相病灶内无增强范围差异无统计学意义（t=-0.449,P=0.660）。结论超声造影动脉相＂增强环＂的厚度及延迟相无增强范围增大与否,有助于鉴别单发性MHC与SNNL。
Bibliography:ultrasonography; Doppler; color; liver neoplasms; neoplasm metastasis; diagnosis; differential
LI Jing, TANG Shaoshan, YU Hortgwei. （Department of Ultrasound, Shert~ing Hospital of China Medical University, Shenyang 110004, China）
Objective To investigate the value of contrast- enhanced ultrasound（ CEUS） in the differential diagnosis of single metastatic hepatic carcinoma（ MHC） and solitary necrotic nodule of the liver（ SNNL）. Methods A retrospective analysis was performed for 12 patients with single MHC and 16 patients with SNNL who showed circular enhancement in arterial phase on CEUS. Age,size of lesion,and findings of two- dimensional gray- scale ultrasound and CEUS were compared between the two groups. The two- independent- samples t-test was used for comparison between groups,and the paired t- test was used for comparison within each group. Results The MHC group had a significantly higher mean age than the SNNL group（ 60. 2 ± 11. 3 years vs 41. 0 ± 9. 1 years,t = 4. 970,P〈0. 001）. The mean diameter of les
ISSN:1001-5256
DOI:10.3969/j.issn.1001-5256.2016.07.025