多层螺旋CT在肝癌介入治疗中的价值-中国介入影像与治疗学.PDFVIP

中国介入影 像与 治疗学 2005 年第 2 卷第 2 期 Chi n J I nt erv I maging Ther ,2005 , Vol 2 , No 2 ·93 · Multislice spiral CT in interventional therapy of hepatocellular carcinoma * LI Zhi- gang , Z HAOJun-j i ng , S HI Gao- f eng , LI Shun-zong , HA N Peng-yi n , YAN G Gua ng , LI AN G Guo- qi n g , WAN G Hon g- gu ang , H UAN G Ji n g- xi an g ( De part ment of Ra diol ogy , the Fourth Hos pital of Hebei Medical Universit y , Shij i az huang 0500 11 , China) ABSTRACT Obj ective To i nvesti gate t he val ue of multislice spiral CT ( MSCT) i n i nterventi onal therapy of t he hepato- cell ul ar carci no ma( HCC) e mphasi si ng on transcatheter hepatic arterial che moe mbolizati on ( TACE) . Methods MSCT were perfor med i n 54 cases of HCC before i nterventi onal procedure , CT fi ndi ngs of hepatic artery phase , portal venous phase and hepatic venous phase were observed respectively , a mong whi ch CT A were done i n 12 cases , and t he anat o my of celi ac artery and its branches were observed . The sche mes of i nterventi onal t herapy were worked out accordi ng t o t he fi ndi ngs of MSCT . Results MSCT sho wed 225 l esions , 10 cases of t umor t hro mbosis i n portal vei n , 1 case of hepati c arteri ovenous s hunt , and 13 cases of hepatic arteri oportal shunt . There was no si gnificant difference bet ween MSCT and DS A i n positive rate of i n sho wi ng number of tu mor or t umor thro mbosis i n portal vei n ( P 0 .05) , but t he 3Dconstructi on of celi ac artery branc hes i n CTA was better t han that i n DSA , whil e angles bet ween celiac artery and abdo mi nal aorta i n MSCT were more conveni ent t han t hat i n DS A . MSCT sho wed 5 cases