严焕军 忻 畅 卓奇峰 陈 磊 陈明良

    宁波市鄞州人民医院肝胆外科，浙江宁波315040

    肝动脉造影联合肝脏超声造影在小肝癌诊断中的价值

    严焕军忻畅卓奇峰陈磊陈明良

    宁波市鄞州人民医院肝胆外科，浙江宁波315040

    目的探讨肝动脉造影联合肝脏超声造影在小肝癌诊断中的价值。方法回顾性分析75例肝细胞肝癌(直径3 cm)患者的术前超声造影检查结果、肝动脉造影检查结果以及两者联合检查诊断结果。结果68例患者术前单独接受肝脏造影B超检查，54例术前诊断肝癌，术前对于肝癌的诊断率为79.4%，35例患者术前单独接受肝动脉造影，其中25例术前诊断为肝癌，术前诊断率为71.4%；28例患者术前同时接受肝脏超声造影和肝动脉造影检查，联合诊断为肝癌27例，肝脏造影B超联合肝动脉造影对于肝癌的诊断率可达到96.4%，结果提示肝脏造影B超和肝动脉造影单独诊断两者差异无显著性(P>0.05)，而两者联合检查后分别与肝动脉造影、肝脏造影B超比较，差异有统计学意义(P<0.01或P<0.05)。结论肝脏超声造影联合肝动脉造影可提高小肝癌的诊断率，有助于临床的应用。

    超声造影；肝动脉造影；肝癌；肝占位

    [Abstract]Objective To investigate the diagnostic value of hepatic angiography and contrast-enhanced ultrasound(CEUS)in the patients of small hepatocellular carcinoma.Methods 75 patients of primary liver cancer(diameter 3cm)were examined by CEUS]，hepatic angiography or both of them]，and the results were studied.Results 68 patients were examined only by CEUS，54(79.4%)patients were diagnosed with primary liver cancer；35 patients were examined only by hepatic angiography]，and 25(71.4%)patients were diagnosed with primary liver cancer；28 patients were re ceived both the examination of hepatic angiography and CEUS ......