右江民族医学院学报
右江民族醫學院學報
우강민족의학원학보
JOURNAL OF YOUJIANG MEDICAL COLLEGE FOR NATIONALITIES
2015年
1期
94-96
,共3页
黄丽华%陆玉敏%农翠珍%苏峙源
黃麗華%陸玉敏%農翠珍%囌峙源
황려화%륙옥민%농취진%소치원
肝肿瘤%体层摄影术,螺旋计算机%诊断
肝腫瘤%體層攝影術,螺鏇計算機%診斷
간종류%체층섭영술,라선계산궤%진단
liver neoplasms%tomography,spiral computed%diagnosis
目的：探讨128层螺旋 CT 在原发性肝癌（primary liver cancer，PLC）中的诊断价值。方法对我院2014年1～6月收治的59例经临床、手术病理及实验室确诊为 PLC 患者的 CT 资料进行回顾性分析，59例均行128层螺旋 CT全肝平扫后行增强扫描，并分析其影像学表现。结果（1）将59例 病 例 按 病 灶 直 径 大 小 分 为 3 型：①巨块型37例（62．71％），低密度33例，等密度1例，等低密度3例。②结节型 9例（15．26％），其中小肝癌 3例，9例均为低密度。③弥漫型13例（22．03％），均为低密度。（2）增 强 扫描：①动脉期，明显高密度强化55例（93．22％），轻度强化4例（6．78％），32例（54．24％）出现病理血管，静 脉 早 显 2例。②门脉期和平衡期：52例 （88．14％）密度减低或稍低，2例（3．39％）强化程度未见明显改变，5例（8．47％）病灶在门脉期和平衡期进一步强化。密度病灶呈“快进快出”的变化特点。31例（52．54％）出现门静脉癌栓。结论肝癌的128层 CT 扫描能显示出肝癌的各种表现：大小、数目、密度、转移、坏死、强化形式，但增强扫描的“快进快出”是最典型的特征，可作为诊断原发性肝癌最有价值的征象。
目的：探討128層螺鏇 CT 在原髮性肝癌（primary liver cancer，PLC）中的診斷價值。方法對我院2014年1～6月收治的59例經臨床、手術病理及實驗室確診為 PLC 患者的 CT 資料進行迴顧性分析，59例均行128層螺鏇 CT全肝平掃後行增彊掃描，併分析其影像學錶現。結果（1）將59例 病 例 按 病 竈 直 徑 大 小 分 為 3 型：①巨塊型37例（62．71％），低密度33例，等密度1例，等低密度3例。②結節型 9例（15．26％），其中小肝癌 3例，9例均為低密度。③瀰漫型13例（22．03％），均為低密度。（2）增 彊 掃描：①動脈期，明顯高密度彊化55例（93．22％），輕度彊化4例（6．78％），32例（54．24％）齣現病理血管，靜 脈 早 顯 2例。②門脈期和平衡期：52例 （88．14％）密度減低或稍低，2例（3．39％）彊化程度未見明顯改變，5例（8．47％）病竈在門脈期和平衡期進一步彊化。密度病竈呈“快進快齣”的變化特點。31例（52．54％）齣現門靜脈癌栓。結論肝癌的128層 CT 掃描能顯示齣肝癌的各種錶現：大小、數目、密度、轉移、壞死、彊化形式，但增彊掃描的“快進快齣”是最典型的特徵，可作為診斷原髮性肝癌最有價值的徵象。
목적：탐토128층라선 CT 재원발성간암（primary liver cancer，PLC）중적진단개치。방법대아원2014년1～6월수치적59례경림상、수술병리급실험실학진위 PLC 환자적 CT 자료진행회고성분석，59례균행128층라선 CT전간평소후행증강소묘，병분석기영상학표현。결과（1）장59례 병 례 안 병 조 직 경 대 소 분 위 3 형：①거괴형37례（62．71％），저밀도33례，등밀도1례，등저밀도3례。②결절형 9례（15．26％），기중소간암 3례，9례균위저밀도。③미만형13례（22．03％），균위저밀도。（2）증 강 소묘：①동맥기，명현고밀도강화55례（93．22％），경도강화4례（6．78％），32례（54．24％）출현병리혈관，정 맥 조 현 2례。②문맥기화평형기：52례 （88．14％）밀도감저혹초저，2례（3．39％）강화정도미견명현개변，5례（8．47％）병조재문맥기화평형기진일보강화。밀도병조정“쾌진쾌출”적변화특점。31례（52．54％）출현문정맥암전。결론간암적128층 CT 소묘능현시출간암적각충표현：대소、수목、밀도、전이、배사、강화형식，단증강소묘적“쾌진쾌출”시최전형적특정，가작위진단원발성간암최유개치적정상。
Objective To investigate the diagnostic value of 128-slice spiral CT in primary liver cancer (PLC). Methods A retrospective analysis was performed on 59 patients proven with PLC by clinical,surgi-cal pathology and laboratory cared at our hospital from January to June 2014.Fifty-nine patients underwent whole liver 128-slice spiral CT scan and enhanced scan,and the imaging characteristics was analyzed. Re-sults (1)According to lesion diameters obtained by CT scanning,59 patients carried three types PLC:①37cases (62.71%)presented with giant mass,33 of them with low density,1 of them with equal density,3 of them with low-density;② 9 cases (15.26%)were nodular type PLC,3 of them were small PLC,9 cases all presented with low density;③ 13 cases (22.03%)were diffused type PLC with low density.(2)Enhancement scanning results:①At arterial phase,55 cases (93.22%)presented with obvious high-density intensification, 4 cases (6.78%)with mild intensification,32 cases (54.24%)with pathological blood vessels,2 cases with early display of portal vein.② At portal vein and equilibrium phase:52 cases (88.14%)presented with reduced density or lower,2 cases (3.39%)without significant intensification changes,lesions in 5 cases (8.47%)were further strengthened at portal vein and equilibrium phase.The density focuses presented changes of“fast-in and fast-out”.Portal vein cancer thrombosis occurred in 31 cases (52.54%). Conclusion The 128-slice Spiral CT scan for liver cancer can show various manifestations of PLC:size,number,density,transfer,nec-rosis,enhanced form,but enhanced scan “fast-in and fast-out”is its main feature,which can serve as the most valuable diagnostic signs of PLC.
