摘要
目的探讨超声在原发性肝癌腹腔转移诊断中的临床应用价值。方法回顾性分析28例原发性肝癌腹腔转移患者的超声表现、手术所见及甲胎蛋白(AFP)、糖类抗原19-9等临床资料。结果超声诊断腹腔转移21例,漏诊7例。16例腹腔转移患者表现为腹腔内孤立或散在多发结节,余5例表现为腹腔内巨大实性结节。单发结节11例,多发结节10例,CDFI探及17例患者结节内有血流信号。结论结合肝癌原发病灶的情况和AFP、糖类抗原19-9血清学资料,对于高度可疑发生腹腔转移的患者在超声检查时应注意全面扫查,重点扫查中上腹网膜区;对于腹腔内肠气干扰明显的患者可结合CT等其他影像学检查。
To investigate the diagnostic value of ultrasonography in intraperitoneal metastasis of primary liver cancer, and to improve the diagnostic experience. Methods The ultrasound imaging, operation findings and simultaneous AFP, CA19-9 data were studied in 28 cases of intraperitoneal metastasis from primary liver cancer. Results Ultrasound diagnosed intraperitoneal metastasis in 21 cases, 7 cases were missed diagnosed. Intraperitoneal metastasis mainly represented isolated or muhiple nodules scattered in the abdominal cavity, while a small proportion showed a huge solid nodule in the abdominal cavity. There was single nodule in 11 cases ,while multiple nodules in 10 cases. Color Doppler flow imaging（CDFI） showed blood flow signals in 17 cases. Conclusion Ultrasonography has significant value in diagnosis of intraperitoneal metastasis of primary liver cancer. Considering of the primary lesions of liver cancer as well as AFP, CA19-9, we should pay attention to the full range of abdomen scanning to exclude the intraperitoneal metastasis lesions;the upper abdomen and the omentum are emphasized. To the patients with poor acoustic conditions, CT or other imaging scanning are referred.
出处
《临床超声医学杂志》
2011年第12期847-849,共3页
Journal of Clinical Ultrasound in Medicine
关键词
超声检查
肝肿瘤
原发性
腹腔转移
Uhrasonography
Liver Neoplasms, primary
Intraperitoneal metastasis
作者简介
叶真，Email：chenyezhen@gmail．com
