CAJ | 학술논문

目的：探讨 CT 与数字减影血管造影（DSA）应用于原发性肝癌经导管肝动脉化疗栓塞术（transcatheter arterial chemoembolization，TACE）术后随访的价值。方法对21例原发性肝癌经 TACE 术后生存期为1～5年患者的 CT 及 DSA 资料进行回顾性分析。结果碘化油（1ipiodol，LPD）沉积 I 型12例、Ⅱ型5例、Ⅲ型4例。 CT 发现6例栓塞周边复发，新发病灶5枚；DSA 发现15例栓塞周边复发，新发病灶14枚。 DSA 在检出小病灶方面优于 CT，差异有统计学意义（P ＜0．05）。结论CT 能够客观反应碘化油沉积；DSA 在小病灶的检出方面较 CT 具有优势；CT、DSA 并结合甲胎蛋白（AFP）的变化能及时发现小病灶，指导临床。
목적：탐토 CT 여수자감영혈관조영（DSA）응용우원발성간암경도관간동맥화료전새술（transcatheter arterial chemoembolization，TACE）술후수방적개치。방법대21례원발성간암경 TACE 술후생존기위1～5년환자적 CT 급 DSA 자료진행회고성분석。결과전화유（1ipiodol，LPD）침적 I 형12례、Ⅱ형5례、Ⅲ형4례。 CT 발현6례전새주변복발，신발병조5매；DSA 발현15례전새주변복발，신발병조14매。 DSA 재검출소병조방면우우 CT，차이유통계학의의（P ＜0．05）。결론CT 능구객관반응전화유침적；DSA 재소병조적검출방면교 CT 구유우세；CT、DSA 병결합갑태단백（AFP）적변화능급시발현소병조，지도림상。
Objective To investigate the post-operative follow-up value of computed tomography (CT) and digital subtraction angiography (DSA) after transarterial chemoembolization (TACE) treatment of patients with primary liver cancer .Methods CT and DSA data of 21 patients with primary liver cancer after TACE whose postoperative survival period was 1-5 years were retrospectively an-alyzed.Results There were 12 cases with lipiodol deposition ((LPD) type I,5 cases with LDP type II and 4 cases with LDP type III. CT found that six cases had peripheral embolism recurrence and 5 new lesions.DSA found that 10 cases had peripheral embolism recur -rence and 12 new lesions.Conclusion CT can objectively represent lipiodol deposition .Compared with CT,DSA has an advantage in detection of small lesions.Combination of CT and DSA as well as changes in AFP can discover the small lesions and guide the clinical performance.