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目的探讨超声检测肝硬化患者二维超声时结节的性质及其与预后的关系。方法300例肝硬化患者经超声检查、超声造影检查、肝脏穿刺活体组织检查及结合临床等综合确诊,观察灰阶超声肝脏结节性质及其与预后的关系。结果300例灰阶超声检查中,超声显示为低回声结节者156例,占52%,稍强回声结节者51例,占17%,混合回声结节93例,占31%,结论肝硬化患者灰阶超声检查结果显示不同以往仅为低回声结节的结论,其中相当一部分结节呈稍强回声或混合回声,而前者与HCC关系较密切。
Objective To investigate the relationship between nodule quality and prognosis in patients with liver cirrhosis by two-dimensional ultrasonography. Methods Three hundred patients with cirrhosis were diagnosed by ultrasound, contrast-enhanced ultrasound, liver biopsy and combined with clinical examination. The relationship between the gray nodules and the prognosis was observed. Results In 300 cases of gray scale ultrasonography, 156 cases were found to have hypoechoic nodules, accounting for 52%. Slightly strong echogenic nodules were 51 cases, accounting for 17%. Mixed echogenic nodules were 93 cases, accounting for 31%. Conclusion: Sclerosis gray-scale ultrasonography showed different results in the past only hypoechoic nodules, a considerable number of nodules were slightly echogenic or mixed echo, while the former is closely related with the HCC.