中国医师进修杂志
中國醫師進脩雜誌
중국의사진수잡지
CHINESE JOURNAL OF POSTGRADUATES OF MEDICINE
2013年
30期
9-11
,共3页
体层摄影术,螺旋计算机%血管造影术%肝肿瘤
體層攝影術,螺鏇計算機%血管造影術%肝腫瘤
체층섭영술,라선계산궤%혈관조영술%간종류
Tomography,spiral computed%Angiography%Liver neoplasms
目的 探讨多层螺旋CT血管造影(MSCTA)在肝癌介入治疗中的应用价值.方法 选择54例肝癌患者为研究对象,所有患者均行MSCTA检查,并进行图像后处理,观察肝癌的MSCTA特点,并与17例同期行数字减影血管造影(DSA)检查的肝癌患者进行对比,以分析MSCTA在肝癌介入治疗中的应用价值.结果 肝癌患者MSCTA动脉期均可见程度不同的肿瘤染色,2例肝动脉门静脉瘘；部分患者在门静脉期及肝静脉期见到静脉癌栓；MSCTA显示肝动脉变异10例,变异率为18.5％(10/54),与DSA符合率为100.0％.MSCTA显示肝癌寄生动脉11支,1例DSA检查未发现,为右膈动脉供血的肝癌,两种方法显示肝癌寄生动脉比较差异无统计学意义(P＞0.05).结论 MSCTA为一种微创伤的肿瘤血供诊断方法,可清晰显示肝动脉及其分支的起源与走行、肝癌的供血动脉、肝癌寄生动脉,与DSA显示结果高度一致,对肝癌介入治疗具有重要的指导意义.
目的 探討多層螺鏇CT血管造影(MSCTA)在肝癌介入治療中的應用價值.方法 選擇54例肝癌患者為研究對象,所有患者均行MSCTA檢查,併進行圖像後處理,觀察肝癌的MSCTA特點,併與17例同期行數字減影血管造影(DSA)檢查的肝癌患者進行對比,以分析MSCTA在肝癌介入治療中的應用價值.結果 肝癌患者MSCTA動脈期均可見程度不同的腫瘤染色,2例肝動脈門靜脈瘺；部分患者在門靜脈期及肝靜脈期見到靜脈癌栓；MSCTA顯示肝動脈變異10例,變異率為18.5％(10/54),與DSA符閤率為100.0％.MSCTA顯示肝癌寄生動脈11支,1例DSA檢查未髮現,為右膈動脈供血的肝癌,兩種方法顯示肝癌寄生動脈比較差異無統計學意義(P＞0.05).結論 MSCTA為一種微創傷的腫瘤血供診斷方法,可清晰顯示肝動脈及其分支的起源與走行、肝癌的供血動脈、肝癌寄生動脈,與DSA顯示結果高度一緻,對肝癌介入治療具有重要的指導意義.
목적 탐토다층라선CT혈관조영(MSCTA)재간암개입치료중적응용개치.방법 선택54례간암환자위연구대상,소유환자균행MSCTA검사,병진행도상후처리,관찰간암적MSCTA특점,병여17례동기행수자감영혈관조영(DSA)검사적간암환자진행대비,이분석MSCTA재간암개입치료중적응용개치.결과 간암환자MSCTA동맥기균가견정도불동적종류염색,2례간동맥문정맥루；부분환자재문정맥기급간정맥기견도정맥암전；MSCTA현시간동맥변이10례,변이솔위18.5％(10/54),여DSA부합솔위100.0％.MSCTA현시간암기생동맥11지,1례DSA검사미발현,위우격동맥공혈적간암,량충방법현시간암기생동맥비교차이무통계학의의(P＞0.05).결론 MSCTA위일충미창상적종류혈공진단방법,가청석현시간동맥급기분지적기원여주행、간암적공혈동맥、간암기생동맥,여DSA현시결과고도일치,대간암개입치료구유중요적지도의의.
Objective To investigate the application value of multi-slice spiral CT angiography (MSCTA) in liver cancer patients interventional treatment.Methods Fifty-four liver cancer patients were selected,all patients underwent MSCTA examination,after the image post-processing,and with 17 cases of patients with the same period digital subtraction angiography (DSA) examination results for comparison,in order to analyze the application value of MSCTA in liver cancer patients interventional treatment.Results The patients with liver cancer were seen MSCTA arterial phase varying degrees of tumor staining,2 cases had hepatic arteriovenous fistula.Some patients in the portal vein and hepatic vein were found vein tumor thrombus.MSCTA showed 10 cases of hepatic artery variation,variation rate of 18.5％ (10/54),in line with the DSA rate of 100.0％.MSCTA showed 11 rami liver cancer parasitic artery,1 case of DSA was not found for the right phrenic artery of liver cancer,there was no significant difference in showed liver cancer parasitic artery between the two methods (P ＞ 0.05).Conclusion MSCTA as a minimally invasive diagnostic method of tumor blood supply,can clearly show the origin of the hepatic artery and its branches and walk the line,liver cancer feeding artery,liver cancer parasitic artery with DSA showed highly consistent results,interventional treatment of liver cancer with important guiding significance.
