目的探讨原发性肝脏类癌的超声学表现。方法回顾性分析我院自2002年9月至2008年11月间9例经手术病理证实的原发性肝脏类癌患者的超声影像资料,分析其超声影像学特征。结果 9例肿瘤直径均大于5cm,多表现为强或高回声,肿瘤内部回声欠均匀,形态不规则,未见明确包膜,与周围组织界限较清楚,血供较丰富,肿瘤广泛出血坏死时可形成巨大囊实性包块,门静脉及腔静脉未见癌栓。结论原发性肝脏类癌缺乏特异性超声影像学表现,需要不断总结经验,提高其诊断效能。 Objective To investigate the ultrasonographic findings of primary liver carcinoid. Methods The clinical data of 9 patients with primary liver carcinoid confirmed by surgery and pathology in our hospital from September 2002 to November 2008 were analyzed retrospectively. The characteristics of ultrasonic imaging were analyzed. Results All of the 9 tumors were larger than 5 cm in diameter. Most of them showed strong or hyperechoic echoes. The echoes inside the tumor were not uniform and irregular in shape. There was no clear envelope, clear border with the surrounding tissues, abundant blood supply, extensive tumor hemorrhage and necrosis Can form a huge cystic solid mass, portal vein and vena cava tumor thrombus. Conclusion The primary liver carcinoid tumors lack of specific ultrasound imaging performance, need to continue to sum up experience and improve its diagnostic efficacy.