CAJ | 학술논문

目的：探讨甲胎蛋白（AFP）、超声与MSCT联合应用在原发性肝癌（Ca）术后复发诊断中的临床应用价值。方法比照性分析46例原发性肝Ca术后复发患者AFP检测结果、彩超及MSCT增强扫描动态随诊结果。结果46例原发性肝Ca术后复发患者，37例首先表现为AFP升高，在超声或MSCT检查中出现复发病灶，9例AFP未见升高，但在超声或MSCT检查中发现复发病灶。结论AFP、超声与MSCT增强扫描联合应用能及时发现原发性肝Ca早期复发病灶，有效提高原发性肝Ca的临床治疗效果。
목적：탐토갑태단백（AFP）、초성여MSCT연합응용재원발성간암（Ca）술후복발진단중적림상응용개치。방법비조성분석46례원발성간Ca술후복발환자AFP검측결과、채초급MSCT증강소묘동태수진결과。결과46례원발성간Ca술후복발환자，37례수선표현위AFP승고，재초성혹MSCT검사중출현복발병조，9례AFP미견승고，단재초성혹MSCT검사중발현복발병조。결론AFP、초성여MSCT증강소묘연합응용능급시발현원발성간Ca조기복발병조，유효제고원발성간Ca적림상치료효과。
Objective To discuss the clinical effects of combination of AFP (Alpha-fetoprotein), ultrasound and MSCT (Multi-Slice Computerized Tomography) in diagnosing the postoperative recurrence of liver cancers. Methods Comparative analysis was made among examination results obtained by AFP measurement, color ultrasound and MSCT enhanced scanning respectively in 46 liver cancers with postoperative recurrence. Results Among 46 postoperatively-recurred liver cancers, 37 cases showed increased AFP values with detection of recurred lesions according to ultrasound or MSCT scanning results;whereas the decreased AFP values and recurred lesions examined with ultrasound or MSCT were found in 9 cases. Conclusion The combination of AFP, ultrasound and MSCT enhanced scanning contributes to prompt detection of recurred lesions for liver cancers, thereby efficaciously improving the therapeutic effects.