CAJ | 학술논문

目的：探析采用急症CT扫描在肝癌破裂诊断中的应用及其临床价值。方法以我院收治的12例原发性肝癌患者作为研究对象展开分析，分别对患者进行血管造影检查以及CT检查，比较两次检查结果的确诊率。结果12例患者中，CT检查共确诊11例，确诊率为91.67%，显著高于造影检查结果的50.00%，比较差异具有统计学意义（P＜0.05）。CT检查的征象包括活动性对比剂外溢、肿瘤包膜中断并伴瘤周血肿、被膜下及腹腔内高密度、去核征、假皱缩征、肿瘤突出肝表面以及肿瘤边缘模糊毛糙。造影检查的征象包括微动脉洒血、小动脉喷血以及毛细血管渗血。7例（58.33%）患者的CT检查发现门静脉癌栓或其他转移。结论螺旋CT对于真性以及隐匿性肝癌出血的敏感性明显高于造影检查，可以更好显示出血肿瘤的位置及更多细节，有利于评估出血范围，避免漏诊情况的出现，对于提高急性肿瘤破裂确诊率具有重要作用，临床应用价值较大，值得推广。
목적：탐석채용급증CT소묘재간암파렬진단중적응용급기림상개치。방법이아원수치적12례원발성간암환자작위연구대상전개분석，분별대환자진행혈관조영검사이급CT검사，비교량차검사결과적학진솔。결과12례환자중，CT검사공학진11례，학진솔위91.67%，현저고우조영검사결과적50.00%，비교차이구유통계학의의（P＜0.05）。CT검사적정상포괄활동성대비제외일、종류포막중단병반류주혈종、피막하급복강내고밀도、거핵정、가추축정、종류돌출간표면이급종류변연모호모조。조영검사적정상포괄미동맥쇄혈、소동맥분혈이급모세혈관삼혈。7례（58.33%）환자적CT검사발현문정맥암전혹기타전이。결론라선CT대우진성이급은닉성간암출혈적민감성명현고우조영검사，가이경호현시출혈종류적위치급경다세절，유리우평고출혈범위，피면루진정황적출현，대우제고급성종류파렬학진솔구유중요작용，림상응용개치교대，치득추엄。
Objective To analyze the clinical value and application of CT emergency scan in diagnosis and treatment of liver cancer rupture. Methods 12 patients with primary liver cancer in our hospital were selected as the research object,who received angiography and CT examination respectively.The positive rates of the two results were compared. Results 11 patients were confirmed by the CT examination of 12 cases,the diagnosis rate was 91.67%,which was significantly higher than the 50% of imaging findings,the difference has statistical significance (P<0.05).The sign of CT examination included active contrast medium spillover,tumor capsular outages and associated with tumor week hematoma,capsule and abdominal cavity to nuclear density,indications,false shrivel,tumor prominent liver surface and edge blur is coarse.The sign of angiography revealed included spray blood arteriole blood,small artery and blood capillary permeability. 7 cases (58.33%) patients with portal venous tumor emboli or other transfer were found by CT examination. Conclusion The facticity and the sensitivity of occult bleeding of liver cancer using spiral CT was obviously higher than that using imaging examination,it can display the location of the tumor hemorrhage and details better,and helpful to evaluate range of bleeding,avoid the occurrence of misdiagnosis case.It plays an important role in improving the confirmed rate of acute tumor rupture,with high clinical value,to be worthy of promoting.