影响多排螺旋CT显示肝癌APS影像征象因素分析.docVIP

影响多排螺旋CT显示肝癌APS影像征象因素分析 　【关键词】 分流；肝癌；多层螺旋CT 　　［摘要］ 目的：研究肝癌APS的16层螺旋CT表现，分析影响16排螺旋CT显示肝癌APS影像征象的因素。方法：分析175例肝癌患者的16层螺旋CT扫描影像表现，对16层螺旋CT双期扫描显示的肿瘤大小、肿瘤位置、有无癌栓、分流位置等征象进行Logistic回归分析。结果：门静脉癌栓的相对危险度为1.05，肿瘤位置的相对危险度为1.60。其他相关征象在本研究中不是16排螺旋CT相关的肝癌APS显示影响因素。结论：影响16排螺旋CT显示肝癌APS影像征象的因素分别为门脉癌栓和肿瘤位置。 　　［关键词］ 分流；肝癌；多层螺旋CT［ 　　Analyse the Influence Factors on Multislice Computed Tomography in Diagnosing Hepatic Carcinoma with APS 　　YANG Limin, XU Kai, GU Yuming 　　(1.The 2nd Hospital of Lian Yun Gang,Jiangsu 222023，China; 　　2.The Affiliated Hospital of Xu Zhou Medical College,Jiangsu 221001，China) 　　Abstract：Objective To study the findings of 16slice CT in diagnosing the hepatic carcinoma with arterioportal shunt (APS)，to Analyse the influence factors on multislice computed tomography in diagnosing hepatic carcinoma with APS.Methods The findings of 16slice CT of 175 cases of hepatic carcinoma were analysed,The differences of the findings of hepatic carcinoma with APS on 16slice CT were compared with those of DSA.The accuracy,sensitivity,specificity in diagnosing hepatic carcinoma with APS were analysed.Results 16slice CT was superior to DSA on displaying the density differences and anatomic location of hepatic carcinoma with APS.2.Regard the DSA as the golden standard,the accuracy,sensitivity and specificity of the diagnoses on hepatic carcinoma with APS of 16slice CT were as follows:98.8%,98.4%,99.1%,respectively.Conclusions 16slice CT was superior to DSA in displaying the density differences and anatomic locations of hepatic carcinoma with APS.There was the higher the accuracy,sensitivity and specificity in the diagnosing of the hepatic carcinoma with APS using 16slice CT. 　　Key words：Shunt;Hepatic carcinoma;Multislice computed tomography 　　肝动脉门静脉分流（Hepatic arterioportal shunt,APS），指在肝动脉分支和门静脉系统之间的功能性和器质性交通，其结果是肝动脉血进入门脉血管灌注区并进行再分布［1］。目前，对肝癌APS的影像学表现研究较多，本文重点分析影响16排螺旋CT显示肝癌APS影像征象的相关因素。 　　1　材料和方法 　　175例肝癌均经临床、手术病理证实且接受16层螺旋CT肝脏增强双期（或三期）扫描。其中156例符合2001年全国肝癌协作组肝癌临床诊断标准,诊断为原发性肝癌，19例为转