CAJ | 학술논문

目的：通过对70例肝血管介入患者的多排螺旋CT图像与数字减影血管造影（DSA）图像对比，了解多排螺旋CT对肝介入治疗的临床意义。方法：对70例肝血管介入治疗患者的多排螺旋CT图像与DSA造影图像对比，分析其血管解剖分型情况，病灶数量及强化程度符合性，由两名影像学主治医师进行评价，再将数据进行统计学分析。结果：肝脏CT与DSA血管解剖及变异显示符合率为99%，病灶符合率为94%，经卡方（P=0.05）分析，两组数据无明显差异，两种检查高度相符。结论：多排螺旋CT检查能清晰显示肝脏血管解剖及变异情况，并且能清晰显示病灶、癌栓情况，与DSA检查对比高度相符，因此对肝脏血管介入治疗有积极指导意义，能指导介入治疗，肝血管介入前应行多排螺旋CT检查进行评估。
목적：통과대70례간혈관개입환자적다배라선CT도상여수자감영혈관조영（DSA）도상대비，료해다배라선CT대간개입치료적림상의의。방법：대70례간혈관개입치료환자적다배라선CT도상여DSA조영도상대비，분석기혈관해부분형정황，병조수량급강화정도부합성，유량명영상학주치의사진행평개，재장수거진행통계학분석。결과：간장CT여DSA혈관해부급변이현시부합솔위99%，병조부합솔위94%，경잡방（P=0.05）분석，량조수거무명현차이，량충검사고도상부。결론：다배라선CT검사능청석현시간장혈관해부급변이정황，병차능청석현시병조、암전정황，여DSA검사대비고도상부，인차대간장혈관개입치료유적겁지도의의，능지도개입치료，간혈관개입전응행다배라선CT검사진행평고。
Objective: Based on 70 cases of hepatic vascular intervention in patients with multi slice spiral CT images and digital subtraction angiography (DSA) image contrast, understanding multi slice spiral CT in the clinical significance of treatment of liver. Methods: 70 cases of hepatic vascular interventional treatment in patients with multi slice spiral CT images with DSA angiography image contrast, analysis of the vascular anatomy type, number of lesions and strengthening degree of compliance, by two imaging physicians were evaluated, and the data were statistical y analyzed. Results: The liver CT and DSA vascular anatomy and variation showed that the coincidence rate was 99%, the coincidence rate of the 94% lesions, the chi square (P=0.05) analysis, no significant difference between the two groups of data, two kinds of highly consistent inspection. Conclusion: multi slice spiral CT examination of hepatic vascular anatomy and variation of clear display, and can clearly show the lesion, tumor thrombus, highly consistent with DSA examination of the liver, the interventional therapy has positive significance, can guide the interventional therapy, liver blood vessel should row multi-slice spiral CT examinations were evaluated before the intervention.