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目的:对超声在原发性肝恶性纤维组织细胞瘤诊断中的价值进行评价,为今后的临床诊断工作提供参考依据。方法抽取在2013年1月-2015年4月间我院收治临床手术后病理确诊原发性肝恶性纤维组织细胞瘤患者11例,对其术前超声检查结果进行回顾性分析。结果本组11例患者均表现为单发病灶,病灶位于肝左叶者6例,位于肝右叶者5例;病灶直径>10 cm者2例,直径在5~10 cm者6例,直径<5 cm者3例;病灶回声呈现不均匀低回声者6例,不均匀强回声者3例,囊实性混合性回声者2例。结论:经超声检查对原发性肝恶性纤维组织细胞瘤进行诊断的临床价值较高,超声表现呈现出多样性,在今后的临床诊断中应对其给予足够的重视。
Objective: To evaluate the value of ultrasound in the diagnosis of primary hepatic malignant fibrous histiocytoma, and to provide a reference for future clinical diagnosis. Methods From January 2013 to April 2015, 11 patients with pathologically confirmed primary hepatic malignant fibrous histiocytoma were enrolled in our hospital from January 2013 to April 2015, and the results of preoperative ultrasonography were retrospectively analyzed. Results The 11 patients in this group all showed single lesion. There were 6 lesions located in the left lobe of liver and 5 lesions located in the right lobe. There were 2 lesions of diameter> 10 cm, 6 of 5 ~ 10 cm in diameter, 3 cases were less than 5 cm. There were 6 cases of hypoechoic echogenic lesions, 3 cases of hypoechoic echoes and 2 cases of cystic mixed echoes. Conclusions: The ultrasonographic diagnosis of primary hepatic malignant fibrous histiocytoma is of high clinical value. The ultrasound manifests diversity. It should be given enough attention in the future clinical diagnosis.