双动脉期螺旋CT扫描在肝细胞癌诊断中的应用.pdfVIP

.146. 影像诊断与介入放射学 2(阴年第 18 瞥第 3 期 双动脉期螺旋 CT 扫描在肝细胞癌诊断中的应用 用红梅胡秋根李将光崔冰刘永存欧鸿儒 {摘要 1 固的 比较双动脉(DAP) 、门静脉三期与常规动、门双期 CT增强扫描在肝细胞痛诊断中的应用。方法对ω例临 床实验室检查 AFP均为阳性的患者，分别行常规动、门双期 CT增强扫描及双动脉、门静脉王朔口增强扫捕。常规动、门双期扫描 方法以动脉期 20 - 258，门静脉期 3S 唰 408 0 双动脉、门静脉王朔扫描方法以动脉早期 ( EAP) 17 - 208，动脉晚期 (LAP)却相拙，门 静脉期为 35 -4伽扫描。分析两种扫描方法所得全部病灶的各糊口表现，评价两种检查方法对肝细胞癌(HCC) ，尤其是小肝癌病 灶的检出率及准确性。结果 常规双期扫描与双动脉、门脉王朔扫描检查在 HCC 诊断的阳性检出率分别 89.6%和 97.79岛， DAP 检 查小病灶准确性高于常规动、门双期，二组资料的整异具有统计学意义。结论 双动脉、门静脉三期 CT增强扫描对诊断肝细胞癌 尤其是小肝癌有较高的l临床应用价值。 l 关键诩} 螺旋 CT;常规双期扫描、双动脉期扫描;肝细胞瘸;早期诊断 [ doi: 10.37721j.issn.lOO.争翻xn.2侃9.03.015 ) AppUω.tion of dual哺rterial pbase cr scan in 幽胆创S ofhepaωceUularαlICinoma ZHOU Hong咖mei， HUQiu…啊矶 URan叩 gωng， CUI Bing, UU Yong-cun, OU Hong-肌 Department ollrtllJge, Guizhou Hospi时， 5，伽mde Division. F oshan 528305. China [Abs回ct) Objec甜ve Toωmpare the value of dual-ar田ial phase (DAP) cornbining 阳ta1 phase 幽 weU as conventioual arteri必 and portaJ phase enhancωCT 阳且 ín the díagnosis of hepa肌ellularωrcinorna. Meth耐aωcases with positive AFP were re仰的创 ωnventional dual叩hωee仙mωd CT scan and dual-arterial phase cornbing 阴阳1 ph脚 enhanωdCT 部anre刷刷ively. Conventional dual-phase included arterial ph耐 (20-2栩栩dpo阳1 phase (35-40的. DUaI甲衍忧rial phase included early ar优rial phase (1 7-208), la优 arterial phase (25-扮的 and portaJ phase (35-4伽).咧le 伽阳tion rate and 部curacy for hepatocellular 唰Cínorna， especially for srna11 liver ωlCinorna w创e anaIyzed. 民esultsηlepo剑tive diagnosis rate of HCC with conventional dual-phωe rnethod and DAPωrnbining POrtaJ phase rne曲。d was 89.6% and 97.7%，阳叫vely. Diagnostic accuracy for srna1llesions was higher 响曲。AP rnethod than wi曲曲 ωnventional dual-phase CT sc侃Conclusion DAPωmbining po饥al phase enhanced CTωan is of higher clinical applied value in dia伊osisofh巳pa~臼活llularωrcinorna， es院将i划ly srna11liv衍 C衍C1DOrna， (K叼 words) Spiral CT;ω附ntionald叫咱阳则nning; Dual咱阳ial pha能侃侃ning;胁阳eU幽carcinorna; Early díagno剧 肝细胞癌(HCC)腊金身恶性肿瘤的第二位，其临床病情 发展迅速，死亡率极高。早期诊断 HCC 成为临床一个十分熏 要阳先键性问题。随着多应螺旋 cr 的运用，通过快速扫描， 可以挟