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目的:研究分析肝癌超声诊断出现误诊的原因。方法:选择2013年3月-2014年3月期间在我院接受诊治的61例被误诊为肝癌的患者,均采取B超、CT等手段进行检查。结果:本组61例误诊肝癌患者中,肝癌的肝血管瘤者8例,肿大的尾状叶者4例,结节性肝硬化者7例,肝多发性囊肿者1例,局灶性脂肪肝者4例,肝周围疾病者12例,其中包括2例右肾上极肿瘤的患者,3例腹膜后肿瘤的患者,6例贲门胃肿瘤的患者,1例胰腺囊腺癌的患者。肝癌误诊病例包括:6例血管瘤的患者,7例结节性肝硬化的患者。漏诊为肝癌者12例。结论:随着诊断仪器的逐渐研发改进,临床医生对肝脏断面解剖、腹腔脏器的进一步认识,超声诊断技术的准确率也会逐渐升高,降低误诊的发生,目前B超诊断可作为临床肝癌影像学检查中的首选技术手段。
Objective: To study the causes of misdiagnosis of ultrasonic diagnosis of liver cancer. Methods: Sixty-one patients who were misdiagnosed as HCC from March 2013 to March 2014 in our hospital were diagnosed by B-mode ultrasound and CT. Results: Among the 61 patients with misdiagnosed liver cancer, there were 8 cases of hepatic hemangioma, 4 cases of enlarged caudate lobe, 7 cases of nodular cirrhosis, 1 case of multiple liver cyst, and focal 4 cases of fatty liver, 12 cases of peripheral liver disease, including 2 cases of right upper kidney tumor, 3 cases of retroperitoneal tumor, 6 cases of cardiac gastric cancer and 1 case of pancreatic cystadenocarcinoma. Misdiagnosis cases of liver cancer include: 6 patients with hemangiomas, 7 patients with nodular cirrhosis. Misdiagnosed as liver cancer in 12 cases. Conclusion: With the gradual development of diagnostic instruments, clinicians are more aware of liver anatomy and abdominal organs, and the accuracy of ultrasonic diagnosis technology will gradually increase, reducing the incidence of misdiagnosis. At present, B-ultrasound can be used as clinical liver cancer The preferred technique of imaging examination.