上海交通大学学报（医学版）

›› 2010, Vol. 30 ›› Issue (6): 745-.

• 经验交流 • 上一篇    

彩色多普勒超声对原发性肺癌的诊断价值

王 雷1, 陈 明2, 谢晓奕1, 黄 艳1, 刘奇志1, 杨 玲1   

  1. 1.上海交通大学 胸科医院超声科, 上海 200030；2.同济大学 医学院东方医院超声科, 上海 200120
  • 出版日期:2010-06-25 发布日期:2010-06-28
  • 作者简介:王 雷（1978—）, 男, 住院医师, 硕士生；电子信箱: wangxiaobei0814@163.com。
  • 基金资助:

    上海市胸科医院科技发展基金（YZ08-09）

Diagnosis of primary lung cancer by color Doppler sonography

WANG Lei1, CHEN Ming2, XIE Xiao-yi1, HUANG Yan1, LIU Qi-zhi1, YANG Ling1   

  1. 1.Department of Ultrasound, Shanghai Chest Hospital, Shanghai Jiaotong University, Shanghai 200030, China；2.Department of Ultrasound, East Hospital, School of Medicine, Tongji University, Shanghai 200120, China
  • Online:2010-06-25 Published:2010-06-28
  • Supported by:

    Science and Technology Development Foundation of Shanghai Chest Hospital, YZ08-09

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摘要：

目的 探讨多普勒超声对原发性肺癌的诊断价值，并分析多普勒超声检查结果与病理组织学类型的关系。方法 测量126 例原发性肺癌患者的超声多普勒血流参数即动脉收缩期最大峰值流速(Vp)和阻力指数(RI),并在腺癌与鳞癌、小细胞肺癌与非小细胞肺癌、直径≤50 mm与直径＞50 mm的肺癌间进行对照分析。结果 鳞癌和腺癌两组织学类型间Vp和RI比较差异均无统计学意义（P＞0.05）。非小细胞肺癌与小细胞肺癌的Vp比较差异无统计学意义（P＞0.05），而二者的RI分别为0.66±0.23和0.83±0.21，二者比较差异有统计学意义（P<0.05）。直径≤50 mm与直径＞50 mm肺癌的Vp比较差异无统计学意义（P>0.05），而直径＞50 mm肺癌的RI低于直径≤50 mm的肺癌(0.63±0.21 vs 0.74±0.24)（P<0.05）。结论 多普勒超声在鉴别小细胞肺癌与非小细胞肺癌具有一定的应用价值。

关键词: 肺癌, 超声检查, 多普勒, 彩色

Abstract:

Objective To investigate the diagnostic value of color Doppler sonography in diagnosis of primary lung cancer, and explore the relationship between color Doppler sonography findings and histopathological types. Methods One hundred and twenty-six patients with primary lung cancer were examined by color Doppler sonography, and blood flow parameters of peak systolic velocity (Vp) and resistive index (RI) were measured. Comparison analysis was performed between those with adenocarcinoma and squamous cell carcinoma, between those with small cell carcinoma and non-small cell carcinoma, and between those with tumor diameter ≤50 mm and tumor diameter＞50 mm. Results There was no significant difference in Vp and RI between patients with squamous cell carcinoma and adenocarcinoma (P＞0.05). There was no significant difference in Vp between patients with nonsmall cell carcinoma and small cell carcinoma (P＞0.05), while there were significant differences in RI between patients with non-small cell carcinoma and small cell carcinoma (0.66±0.23 vs 0.83±0.21, P<0.05). There was no significant difference in Vp between patients with tumor diameter ≤50 mm and tumor diameter ＞50 mm (P＞0.05), while RI in patients with tumor diameter ＞50 mm was significantly lower than that in patients with tumor diameter ≤50 mm (0.63±0.21 vs 0.74±0.24, P<0.05). Conclusion There exists clinical value of Doppler sonography in differential diagnosis of small cell carcinoma and non-small cell carcinoma.

Key words: lung cancer, ultrasonography, Doppler, color