首页|超声造影与CT增强扫描在肝癌患者诊断中的应用

超声造影与CT增强扫描在肝癌患者诊断中的应用

Application of contrast-enhanced ultrasound and CT enhanced scanning in the diagnosis of liver cancer

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目的 探析肝癌诊断中超声造影(UC)与CT增强扫描的应用价值.方法 随机选取122例疑似肝癌的患者,所有患者均接受UC与CT增强扫描诊断,同时进行病理学筛查,病理学检查结果显示肝癌100例,良性肝疾病22例,比较不同诊断方式的灵敏度、特异度与准确率.结果 CT增强扫描、UC诊断的阳性率相同,均为74.6%(91/122);CT增强扫描+UC诊断的阳性检出率为79.5%(97/122),高于两种方式单独检测(P<0.05);CT增强扫描+UC诊断的灵敏度、特异度、阳性/阴性预测值、诊断符合率分别96.0%、95.5%、99.0%、84.0%、95.9%高于 CT 增强扫描 81.0%、54.6%、89.0%、38.7%、76.2%(x2=11.054、9.818、8.452、11.729、19.684,P=0.001、0.002、0.004、0.001、<0.001),也高于 UC 诊断 82.0%、59.1%、90.1%、41.9%、77.9%(x2=10.010、8.282、7.317、10.266、17.408,P=0.002、0.004、0.007、0.001、<0.001).结论 UC 联合 CT 增强扫描诊断肝癌患者的精准性较高,两者联合诊断的灵敏度、特异度与诊断符合率较高,值得推广.
Objective To explore the application value of contrast-enhanced ultrasound(UC)and CT enhanced scanning in the diagnosis of liver cancer.Methods One hundred and twenty-two patients with suspected liver cancer were randomly selected,and all patients underwent UC and CT enhanced scanning for diagnosis.At the same time,pathological screening was performed.The pathological examination results showed 100 cases of liver cancer and 22 cases of benign liver diseases.The sensitivity,specificity,and accuracy of different diagnostic methods were compared.Results The positive rates of CT enhanced scanning and UC diagnosis were the same,both of which were 74.6%(91/122).The positive detection rate of CT enhanced scanning combined with UC diagnosis was 79.5%(97/122),which was higher than that of the two separate detection methods(P<0.05).The sensitivity,specificity,positive/negative predictive value,and diagnostic accuracy of CT enhanced scanning+UC diagnosis were 96.0%,95.5%,99.0%,84.0%,and 95.9%,respectively,which were higher than those of CT enhanced scanning 81.0%,54.6%,89.0%,38.7%,and 76.2%(x2=11.054,9.818,8.452,11.729,19.684,P=0.001,0.002,0.004,0.001,<0.001),and were also higher than those of UC diagnosis 82.0%,59.1%,90.1%,41.9%and 77.9%(x2=0.010,8.282,7.317,10.266,17.408,P=0.002,0.004,0.007,0.001,<0.001).Conclusion The accuracy of UC combined with CT enhanced scanning in diagnosing liver cancer is high,and the sensitivity,specificity,and diagnostic accuracy of the combined diagnosis are high,which is worth promoting.

Liver neoplasmsCT enhanced scanningContrast-enhanced ultrasoundDiagnosisAccuracy

杨超、马伟

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南阳市第一人民医院肝胆病诊疗中心,南阳 473000

肝肿瘤 CT增强扫描 超声造影 诊断 精准性

2024

实用医技杂志
山西医药卫生传媒集团有限责任公司

实用医技杂志

影响因子:0.534
ISSN:1671-5098
年,卷(期):2024.31(3)
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