PDF下载 ( 1382 KB)
Contrast-enhanced ultrasound and contrast-enhanced CT diagnostic value of the AFP-negative hepatocellular carcinoma
-
摘要: 目的比较超声造影(CEUS)和增强CT(CECT)对AFP阴性原发性肝癌(PHC)的诊断价值。方法对接受过肝脏CEUS和CECT检查的36例甲胎蛋白(AFP)阴性的PHC患者进行分析,将两种检查方法对AFP阴性PHC的诊断阳性率、病理类型符合率进行比较。结果 CEUS对AFP阴性组诊断阳性率为94.4%,病理类型符合率为86.1%;CECT对AFP阴性组诊断阳性率为88.9%,病理类型符合率为88.9%,CEUS与CECT联合对AFP阴性组诊断阳性率为100%,病理类型符合率为100%。结论 CEUS、CECT及两者联合对AFP阴性PHC均具有较高的阳性诊断率和病理类型符合率。
-
关键词:
- 超声检查 /
- 体层摄影术,螺旋计算机 /
- 肝肿瘤
Abstract: Objective To compare contrast-enhanced ultrasound (CEUS) and contrast-enhanced CT (CECT) diagnostic value of the AFP-negative hepatocellular carcinoma (PHC) .Methods Delect 36 cases of AFP-negative PHC patients who received liver CEUS and CECT examination were analyzed.AFP-negative PHC Postitive diagnosis rate with Pathological diagnosis rate of the two methods were compared.Results Positive diagnosis rate of CEUS for AFP-negative PHC was 94.4%, Pathological diagnosis rate was 86.1%, Positive diagnosis rate for CECT of AFP-negative PHC was 88.9%, Pathological diagnosis rate was 88.9%.Positive diagnosis rate of CEUS combined with CECT for AFP-negative PHC was 100%, Pathological diagnosis rate was 100%.Conclusion Positive diagnosis rate of CEUS for AFP-negative PHC was higher, pathological diagnosis rate of CECT for AFP-negative PHC was higher, CEUS combined with CECT can further improve the Positive diagnosis rate and Pathological diagnosis rate of AFP-negative PHC.-
Key words:
- ultrasonography /
- tomography /
- spiral computed
-
[1]周建华, 李安华, 操隆辉, 等.肝脏局灶性炎性病变超声造影分析[J].中华医学超声杂志:电子版, 2008, 5 (1) :33-40. [2]Daniele B, Bencivenga A, Megna AS, et al.Alpha-fetopro-tein and ul-trasonography screening for hepatocellular carci-noma[J].Gastroenterology, 2004, 127 (5) :108-112. [3]Claudon M, Cosgrove D, Albrecht T, et al.Guidelines andgood clinical practice recommendations for contrast enhancedultrasound (CEUS) -update 2008[J].Ultraschall Med, 2008, 29 (1) :28-44. [4]徐金锋, 吴瑛, 熊奕, 等.超声造影对肝脏实质性小病灶的早期诊断价值[J].华中科技大学学报:医学版, 2008, 37 (2) :266-269. [5]李金奎.血清AFP、CEA、ALP联合检测对原发性肝癌诊断的临床意义[J].中国实验诊断学, 2010, 14 (2) :259-260. [6] 夏宇, 姜玉新, 戴晴, 等.超声造影对肝局灶性病变的诊断价值:与增强CT对比研究[J].中华超声影像学杂志, 2008, 17 (7) :576-580. -
本文二维码
计量
- 文章访问数: 3668
- HTML全文浏览量: 18
- PDF下载量: 758
- 被引次数: 0
下载:
