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目的 :探讨彩色多普勒能量图 (CDE)对肝硬化癌变的诊断价值。方法 :对 2 1例小肝癌和 10例肝腺瘤样增生结节进行了 CDE检查 ,并对 10例肝腺瘤样增生结节连续追踪监测。结果 :小肝癌动脉肿瘤输入血管检出率 85 .7% ,门静脉肿瘤输入血管检出率 4 2 .9% ;肝腺瘤样增生结节门静脉肿瘤输入血管检出率 6 0 .0 % ,无一例存在动脉肿瘤输入血管 ;两组相比 (P<0 .0 1) ,此外 CDE可显示 11例 (5 2 .4 % )小肝癌有肿瘤输出静脉血管 ,而肝腺瘤样增生结节无一例有肿瘤输出静脉血管 ;两组相比 (P<0 .0 1)。结论 :CDE对肝硬化癌变的早期诊断具有一定的价值 ,当出现输入肿瘤的动脉血管或输出肿瘤的静脉血管时 ,应考虑肝腺瘤样增生结节已发生恶变
Objective: To investigate the diagnostic value of color Doppler energy imaging (CDE) in the diagnosis of cirrhosis. Methods: CDE was performed on 21 cases of small hepatocellular carcinoma and 10 cases of hepatic adenomatous hyperplasia nodules, and 10 cases of hepatic adenomatous hyperplasia nodules were continuously followed up. Results: The detection rate of arterial tumor was 85.7% in small hepatocellular carcinoma and 42.9% in portal vein. The incidence of hepatic adenoma-like hyperplastic nodular portal vein tumor was 60.0% In one case, arterial tumors were found in the vessels. Compared with the two groups (P <0.01), CDE also showed that 11 cases (52.4%) of the small hepatocarcinomas had tumor-outgrowth vein and the hepatic adenomatous hyperplasia nodules One case had a tumor-outlet vein; compared to the two groups (P <0.01). Conclusions: CDE has some value in the early diagnosis of cirrhosis. When there is an artery in the tumor or a vein in the tumor, the malignant transformation of hepatic adenomatous hyperplasia nodules should be considered