中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2015年
18期
67-69
,共3页
肝细胞癌%多层螺旋CT%诊断%近端APS
肝細胞癌%多層螺鏇CT%診斷%近耑APS
간세포암%다층라선CT%진단%근단APS
Hepatocellular carcinoma%Multi-slice spiral CT%Diagnosis%Proximal APS
目的 探讨多层螺旋CT在肝细胞癌(HCC)合并近端肝动脉-门静脉分流(APS)中的临床诊断价值和意义.方法 选取驻马店市中心医院收治的84例肝细胞癌患者作为研究对象,对其分别进行多层螺旋CT及肝动脉数字减影血管造影(DSA)检查,对两种方法的临床诊断准确性进行观察比较,并以DSA诊断近端APS为标准,对多层螺旋CT诊断的CT表现特征进行对比分析.结果 经DSA检查,65例患者检查出合并近端APS,占77.4％,经多层螺旋CT检查,57例检测出合并近端APS,占67.9％,多层螺旋CT与DSA两种检查方式对比临床诊断准确性差异未见统计学意义(P＞0.05).多层螺旋CT对于周围型肝APS的检出率明显高于DSA检查,组间检测情况差异有统计学意义(P＜0.05).结论 肝细胞癌合并近端肝动脉-门静脉分流经多层螺旋CT检查诊断的准确性可与DSA相比,其对肝癌临床治疗具有重要指导意义.
目的 探討多層螺鏇CT在肝細胞癌(HCC)閤併近耑肝動脈-門靜脈分流(APS)中的臨床診斷價值和意義.方法 選取駐馬店市中心醫院收治的84例肝細胞癌患者作為研究對象,對其分彆進行多層螺鏇CT及肝動脈數字減影血管造影(DSA)檢查,對兩種方法的臨床診斷準確性進行觀察比較,併以DSA診斷近耑APS為標準,對多層螺鏇CT診斷的CT錶現特徵進行對比分析.結果 經DSA檢查,65例患者檢查齣閤併近耑APS,佔77.4％,經多層螺鏇CT檢查,57例檢測齣閤併近耑APS,佔67.9％,多層螺鏇CT與DSA兩種檢查方式對比臨床診斷準確性差異未見統計學意義(P＞0.05).多層螺鏇CT對于週圍型肝APS的檢齣率明顯高于DSA檢查,組間檢測情況差異有統計學意義(P＜0.05).結論 肝細胞癌閤併近耑肝動脈-門靜脈分流經多層螺鏇CT檢查診斷的準確性可與DSA相比,其對肝癌臨床治療具有重要指導意義.
목적 탐토다층라선CT재간세포암(HCC)합병근단간동맥-문정맥분류(APS)중적림상진단개치화의의.방법 선취주마점시중심의원수치적84례간세포암환자작위연구대상,대기분별진행다층라선CT급간동맥수자감영혈관조영(DSA)검사,대량충방법적림상진단준학성진행관찰비교,병이DSA진단근단APS위표준,대다층라선CT진단적CT표현특정진행대비분석.결과 경DSA검사,65례환자검사출합병근단APS,점77.4％,경다층라선CT검사,57례검측출합병근단APS,점67.9％,다층라선CT여DSA량충검사방식대비림상진단준학성차이미견통계학의의(P＞0.05).다층라선CT대우주위형간APS적검출솔명현고우DSA검사,조간검측정황차이유통계학의의(P＜0.05).결론 간세포암합병근단간동맥-문정맥분류경다층라선CT검사진단적준학성가여DSA상비,기대간암림상치료구유중요지도의의.
Objective To evaluate the clinical diagnostic value and clinical significance of multi-slice spiral CT in hepatocellular carcinoma (HCC) combined with proximal arterioportal shunt (APS).Methods Eighty-four cases of hepatocellular carcinoma in our hospital were selected as the research objects,and were given the multi-slice spiral CT and hepatic arterial digital subtraction angiography (DSA) examination.The diagnostic accuracy of the two methods were observed and compared.DSA diagnosis of proximal APS as the standard,CT features of multi-slice spiral CT were andyzed and compared.Results Sixty-five patients had combined with proximal APS,accounting for 77.4％ through the DSA examination.Fifty-seven cases were detected with proximal APS,accounting for 67.9％ through the multi slice spiral CT examination.No significant difference between the two kinds of inspection methods of comparative clinical diagnostic accuracy (P ＞ 0.05).The detection rate of multi slice spiral CT for peripheral hepatic APS was significantly higher than that of DSA examination (P ＜ 0.05).Conclusions Hepatocellular carcinoma combined with proximal hepatic artery portal vein shunt by the accuracy of multi-slice spiral CT is as effective as the DSA and has important guiding sense to the clinical treatment of liver cancer.
