| 林展辉,林礼务,高上达,何以敉,吴丽足,王艳.彩色多普勒超声在团块型胆囊癌与肝细胞癌鉴别诊断中的价值[J].中国医学影像技术,2006,22(7):1055~1057 |
| 彩色多普勒超声在团块型胆囊癌与肝细胞癌鉴别诊断中的价值 |
| Color Doppler ultrasound in differential diagnosis of massive gallbladder carcinoma and hepatocellular carcinoma |
| 投稿时间：2006-02-27 修订日期：2006-04-12 |
| DOI： |
| 中文关键词: 超声检查,多普勒,彩色 胆囊肿瘤 癌,肝细胞 诊断,鉴别 |
| 英文关键词:Ultrasonography, Doppler, color Gallbladder neoplasms Carcinoma, hepatocellular Diagnosis, differential |
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| 中文摘要: |
| 目的 探讨彩色多普勒超声在团块型胆囊癌与肝细胞癌鉴别诊断中的价值。方法 采用彩色多普勒超声检测胆囊癌32例与肝细胞癌41例,全部病例均经手术病理证实,观察两组肿块血流分布情况并进行比较。结果 32例胆囊癌中17例为团块型(53.13%),17例团块型胆囊癌中12例(70.58%)肿块见丰富血流信号,血流呈数条穿支状或呈多条放射状自肿块周边伸入内部,似"网篮状"改变,41例肝细胞癌中22例(53.66%)彩色多普勒测及丰富血流信号,肿块内部见弥漫分布的粗索条状与多发性粗点状血流信号,呈"礼花状"改变。结论 彩色多普勒超声在团块型胆囊癌与肝细胞癌鉴别诊断中具有一定的临床意义。 |
| 英文摘要: |
| Objective To evaluate the value of color Doppler ultrasound in differential diagnosis of massive gallbladder carcinoma and hepatocellular carcinoma. Methods Thirty-two cases of gallbladder carcinoma and 41 cases of hepatocellular carcinoma were detected by color Doppler ultrasound. All cases were proved by operation and pathology. The color Doppler flow distributive situation of two groups were observed and compared. Results There were 17 cases of massive type in 32 cases of the gallbladder carcinoma (53.13%). The rich color Doppler flow information was observed in 12 cases (70.58%) among the 17 cases of massive gallbladder carcinoma. Several perforating branches or many radial color Doppler flows, as net-covered basket, perforated to the massive gallbladder carcinoma from the edge of the tumor. The rich flow information was observed by color Doppler in 22 cases among the 41 cases of hepatocellular carcinoma. The color Doppler flows of wide-strip and multiple wide-dots were diffusely distributed in the hepatocellular carcinoma, such as fireworks display. Conclusion Color Doppler ultrasound is of significance in the differential diagnosis of massive gallbladder carcinoma and hepatocellular carcinoma. |
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