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目的:探讨CT与超声对小肝癌的鉴别诊断价值。方法:收集2010年1月至2015年12月经手术病理证实的100例小肝癌患者的临床资料,回顾性分析其超声表现和三期动态CT的图像特征。结果:100例患者中共103个病灶,超声正确诊断出62个(60.19%),CT正确诊断出89个(86.41%),超声联合CT正确诊断出97个(94.17%),超声联合CT正确诊断率明显高于超声与CT的单独检测,而CT的正确诊断率亦明显高于超声,差异比较具有统计学意义(P<0.05)。结论:在小肝癌的鉴别诊断中,CT的诊断率高于超声检查,而两者联合后的鉴别诊断价值更高。
Objective: To investigate the differential diagnosis of small hepatocellular carcinoma with CT and ultrasound. Methods: The clinical data of 100 patients with small hepatocellular carcinoma confirmed by surgery and pathology from January 2010 to December 2015 were collected. The ultrasonographic features and the image features of the third phase dynamic CT were retrospectively analyzed. Results: A total of 103 lesions were diagnosed in 100 patients. 62 (60.19%) were correctly diagnosed by ultrasound, 89 (86.41%) were correctly diagnosed by CT, 97 (94.17%) correctly diagnosed by ultrasound and CT, The rate of CT diagnosis was significantly higher than that of ultrasound, the difference was statistically significant (P <0.05). Conclusion: In the differential diagnosis of small hepatocellular carcinoma, the diagnostic rate of CT is higher than that of ultrasonography, and the differential diagnosis between the two is more valuable.