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中华临床医师杂志(电子版) ›› 2025, Vol. 19 ›› Issue (05) : 392 -396. doi: 10.3877/cma.j.issn.1674-0785.2025.05.010

综述

超声造影在鉴别诊断原发性肝癌类型上的研究进展
卫星彤, 李昊昌(), 赵欣   
  1. 010050 呼和浩特,内蒙古医科大学附属医院超声科
  • 收稿日期:2025-04-08 出版日期:2025-05-15
  • 通信作者: 李昊昌
  • 基金资助:
    内蒙古医科大学面上项目(YKD2025MS006)

Contrast-enhanced ultrasound in differential diagnosis of primary liver cancer subtypes: current advances

Xingtong Wei, Haochang Li(), Xin Zhao   

  1. Department of Ultrasound, Affiliated Hospital of Inner Mongolia Medical University, 010050 Hohhot, China
  • Received:2025-04-08 Published:2025-05-15
  • Corresponding author: Haochang Li
引用本文:

卫星彤, 李昊昌, 赵欣. 超声造影在鉴别诊断原发性肝癌类型上的研究进展[J/OL]. 中华临床医师杂志(电子版), 2025, 19(05): 392-396.

Xingtong Wei, Haochang Li, Xin Zhao. Contrast-enhanced ultrasound in differential diagnosis of primary liver cancer subtypes: current advances[J/OL]. Chinese Journal of Clinicians(Electronic Edition), 2025, 19(05): 392-396.

原发性肝癌根据病理类型主要分以下三种:肝细胞肝癌、肝内胆管癌及混合型肝细胞癌-胆管细胞癌,由于治疗方案及预后的差异,对三者进行鉴别诊断至关重要。超声造影能够实现对组织微血管灌注的实时对比成像,在诊断原发性肝癌方面具有很高的潜力。三种病理类型的肝癌造影表现各具特点,然仍存在影像学特征重叠,为提高对肝癌诊断的准确性,常联合肿瘤标志物进行分析。目前超声造影新技术的应用,将成为鉴别诊断原发性肝癌各类型的重要方法。

According to the pathological types, primary liver cancer is mainly divided into three common subtypes: hepatocellular carcinoma, intrahepatic cholangiocarcinoma, and combined hepatocellular-cholangiocarcinoma. Due to the difference in treatment and prognosis, the differential diagnosis of the three is very important. Contrast-enhanced ultrasound can realize real-time contrast imaging of tissue microvascular perfusion and has high potential in the diagnosis of primary liver cancer. Each type of liver cancer has its own characteristics, but there is still overlap in imaging features. In order to improve the accuracy of diagnosis of liver cancer, tumor markers are often analyzed. The application of some new methods is expected to contribute to the differential diagnosis of primary liver cancer subtypes by contrast-enhanced ultrasound.

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