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《Chinese Journal of Clinical Oncology and Rehabilitation》 2018-09
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Significance of ultrasonography early diagnosis in 120 patients with liver cirrhosis complicated with small liver cancer

LEI Yi-ming;WU Wen-hua;LI Tao;SU Lin-na;Digestive Ultrasonic Diagnosis and Treatment Center,Xijing Hospital;Department of Nosocomial Infection,second affiliated Hospital of Xi'an Jiaotong University;  
Objective To analyze the early diagnostic value of ultrasonography in patients with liver cirrhosis complicated with small liver cancer. Methods A total of 120 patients with liver cirrhosis complicated with liver cancer treated at Xijing Hospital were selected from June 2016 to December 2017. They all underwent early ultrasonic diagnosis. The pathological results were compared and the diagnostic value of contrast-enhanced ultrasound was analyzed. Results For the 120 patients with liver cirrhosis complicated with small liver cancer,114 patiehts who had ultrasound contrast examination were confirmed by pathological results and,the accuracy rate was 95. 0%. Six patients were omitted,and the omission diagnose rate was5. 0%. There was no significant difference in initial enhancement time and the enhancement peak time between the medium to low differentiated carcinoma and the high differentiated carcinoma( P 0. 05). The recession time of contrast-enhanced ultrasound in medium to low differentiated carcinoma was significantly shorter than in highly differentiated carcinoma( P 0. 05). The detection rate of lesions in contrast enhanced ultrasound was 94. 4%,which was significantly higher than 69. 3% of conventional CT and 77. 2%of the enhanced CT( all P 0. 05). Conclusion The early diagnosis rate of ultrasonography in patients with liver cirrhosis complicated with small liver cancer is high,which is worthy of clinical application.
【CateGory Index】: R735.7;R575.2;R445.1
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