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原发性肝细胞癌的血管造影诊断研究

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摘要 目的:研究血管造影对原发性肝癌TACE后残留及转移病灶的检查能力。方法:31例经穿刺活检或手术病理证实的肝癌患者,以临床随访6个月以上及部分病理结果为标准,回顾性分析血管造影对肿瘤残留及转移病灶的显示情况。结果:31例患者肝内共76个病灶,经临床随访6个月以上及部分病理结果证实。三种血管造影对肝癌TACE后肿瘤残留病灶栓出的灵敏度和准确性分别为90.3%、92.3%;90.6%、96.3%和92.6%、92.2%,差异显著(P〈0.01)。结论:血管造影能够更加准确的鉴别肿瘤存活,特别是对于肝外转移病灶的检出具有独特的优势,而且血管造影的诊断灵敏度、准确性高,医院可以在此病灶的研究上将多种影像学方法相结合,能够为临床提供更加可靠的定位和定性的诊断依据。 Objective To study the angiography of primary liver cancer and the transfer of residual lesions after TACE inspection capabilities; Methods 31 patients with biopsy or surgical pathology confirmed liver cancer patients to clinical follow - up more than 6 months and some of the pathology results as the standard A retrospective analysis of angiography and transfer of residual tumor lesions display situation; the results of 31 cases of a total of 76 patients with liver lesions by clinical follow - up more than 6 months and some of the pathological findings confirmed. Three kinds of angiographic residual tumor after TACE of the liver lesion detection sensitivity and accuracy were 90.3%, 92.3% ; 90.6%, 96.3% and 92.6%, 92.2%, significantly different (P 〈0.01 ) ; Conclusion Endovascular Contrast can be a more accurate identification of tumor survival, especially for the detection of extrabepatic metastasis has unique advantages, and angiography in diagnosis of sensitivity, high accuracy, hospitals can lesions in this study phase will be a variety of imaging techniques combination of able to provide a more reliable positioning of clinical and qualitative diagnosis.
作者 刘长高
出处 《医学信息(下旬刊)》 2010年第4期211-212,共2页 Medical information
关键词 干细胞癌 血管造影 诊断 stem cell carcinoma angiography diagnostic
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