广西医学2017，Vol.39Issue(10)：1538-1541,4.DOI:10.11675/j.issn.0253-4304.2017.10.23
超声与增强CT测量原发性肝癌大小的结果对比
Comparison between ultrasound and enhanced CT for measurement of primary hepatic carcinoma size
邓喜青 1黄健源 1李一辉1
作者信息
- 1. 湖南省株洲市中心医院放射影像科,株洲市 412000
- 折叠
摘要
Abstract
Objective To compare the measurement results of primary hepatic carcinoma size between ultrasound and enhanced CT.Methods The data of ultrasound and enhanced CT examination from 189 patients with primary hepatic carcinoma were retrospectively analyzed. And the postoperative pathological specimens were collected from 55 cases.The measurement results of large lesions (major diameter>5 cm by CT;n=77) and small lesions(major diameter≤5 cm by CT;n=112) were compared between ultrasound and enhanced CT,and Bland-Altman analysis was used to evaluate the consistency of the two approaches .The measurement results of small lesions ( major diameter≤5 cm by CT;n=47) were compared among ultrasound ,enhanced CT and pathological measurement after operation ,and the consistencies of ultrasound and enhanced CT with pathological measurement were evaluated .Results Significant difference in the measurement result of small lesions was found between ultrasound and enhanced CT (P<0.05),but no significant difference in the measurement result of large lesions was found (P>0.05).Consistency between enhanced CT and ultrasound was observed in the measurement for large lesions .The major diameter of small lesions measured by ultrasound was greater than that by pathological measurement (P<0.05),but there was no significant difference between enhanced CT and pathological measurement (P>0.05).Poor consistency between enhanced CT (or ultrasound) and pathological measurement was observed in the measurement for small lesions.Conclusion For the large lesions of hepatic carcinoma,there is no significant difference in the measurement result between enhanced CT and ultrasound ,and they can be replaced with each other.And for the small lesions, the results measured by enhanced CT might be more accurate.However,enhanced CT or ultrasound can not be a substitute for the pathological measurement.关键词
原发性肝癌/超声/增强CT/病理/大小/测量Key words
Primary hepatic carcinoma/Ultrasound/Enhanced CT/Pathology/Size/Measurement分类
医药卫生引用本文复制引用
邓喜青,黄健源,李一辉..超声与增强CT测量原发性肝癌大小的结果对比[J].广西医学,2017,39(10):1538-1541,4.
