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目的 :观察乙型肝炎与原发性肝癌共存的临床特征 ,实验室及影像学检查的诊断价值以及探讨防止肝癌误诊的措施。方法 :选择我科 1993年 6月～ 2 0 0 3年 6月间住院病历 3 0份进行回顾性分析。结果 :本组临床表现从无症状、到类似肝硬化以及特殊表现 ,症状特异性差。实验室诊断符合率AFP >r -GT >ALP。影像学诊断符合率CT =MRI >BUS。结论 :尽管乙型肝炎与原发性肝癌病人临床表现特异性差 ,如果定期检查AFP、B超或CT、肝癌的漏诊和误诊可以避免。
Objective: To observe the clinical characteristics of hepatitis B coexisting with primary hepatocellular carcinoma (HCC), the diagnostic value of laboratory and imaging studies and the measures to prevent misdiagnosis of HCC. Methods: A retrospective analysis was performed on 30 in-patient records from June 1993 to June 2003 in our department. Results: The clinical manifestations of this group from asymptomatic, similar to cirrhosis and special performance, poor symptom specificity. Laboratory diagnosis coincidence rate AFP> r -GT> ALP. Imaging diagnosis coincidence rate CT = MRI> BUS. Conclusion: Although the clinical manifestations of hepatitis B and primary hepatocellular carcinoma are poor, it is possible to avoid misdiagnosis and misdiagnosis of hepatocellular carcinoma if AFP, B ultrasound or CT are checked regularly.