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目的:研究超声随访在肝硬化结节恶变筛查及诊断中的价值。方法:选取我院收治的乙肝后肝硬化患者83例,均采取超声检查,观察超声随访在肝硬化结节恶变筛查及诊断中的应用价值。结果:本组83例随访发现,出现肝硬化伴增生性结节患者演变小肝癌21例。增生性结节患者的增生性结节直径与小肝癌患者肿块直径比较,差异无统计学意义(P>0.05)。增生性结节患者的回声情况与小肝癌患者比较,差异有统计学意义(P<0.05)。超声随访发现,结节由112个增加至126个,结节数量增加。肝硬化结节14例,在超声引导下行肝穿刺活检,成功13例,失败1例,病理诊断肝硬化结节患者9例,肝癌患者3例,与超声的检查结果相同。结论:超声随访在肝硬化结节恶变的筛查诊断中具有较高的临床价值,可在早期提供较为准确的检查结果,帮助医师做出诊断,及早治疗以改善预后。
Objective: To study the value of ultrasound follow-up in the screening and diagnosis of malignant lesions of liver cirrhosis. Methods: Eighty-three patients with post-hepatitis B cirrhosis admitted to our hospital were enrolled in this study. All of them were examined by ultrasound to observe the value of ultrasound follow-up in the screening and diagnosis of cirrhosis nodules. Results: 83 patients were followed up in this group, there were 21 cases of small hepatocellular carcinoma in patients with cirrhosis and proliferative nodules. Proliferative nodules in patients with proliferative nodules diameter and small liver cancer patients with tumor diameter comparison, the difference was not statistically significant (P> 0.05). Echogenicity of patients with proliferative nodules and small liver cancer patients, the difference was statistically significant (P <0.05). Ultrasound follow-up found that nodules increased from 112 to 126, an increase in the number of nodules. Among the 14 patients with cirrhosis, liver biopsy was performed under the guidance of ultrasound. Thirteen cases were successful, one case failed, nine cases were pathologically diagnosed with cirrhosis and three cases were liver cancer. The results were the same as those of ultrasound examination. Conclusion: Ultrasound follow-up in the diagnosis of malignant nodules of cirrhosis has high clinical value, which can provide more accurate early detection results to help physicians make diagnosis and early treatment to improve prognosis.