肝脏疾病的诊断与治疗课件.pptVIP

2．CT检查：CT- scaning ,with or without intravenous material, apperars to be increasing in accuracy and may detect lesion as small as 1 cm in diameter 3．选择性腹腔动脉或肝动脉造影：hepatic arteriography may be helpful in identifying the number and location of multiple lesion. 对肿瘤血管丰富的肿瘤，1CM~2CM小肝癌其诊断小肝癌的阳性率可达90%，是目前对小肝癌的定位检查的各种方法中最有效的方法。 4．MRI ： 5．放射性核素肝扫描： 6．X线检查： 腹部透视或平片可见右侧膈肌升高、活动受限或呈局限性隆重起。 7．肝穿刺针吸细胞学检查.Percutaneous needle biopsy or fine – needle aspiration for cytodiagnosis is important in diagnosis, but less for the evaluation of potentially resectable, indeteminant liver masses 鉴别 原发性肝细胞癌需与继发性肝癌、肝脓肿