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8排螺旋CT多期动态增强扫描应用于肝细胞肝癌临床诊断分析

The Clinical Analysis of Multi-phase Dynamic 8-slices Spiral CT in the Diagnosis of Hepatocellular Carcinoma
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摘要 目的:探讨8排螺旋CT多期动态增强扫描在肝细胞肝癌的临床应用情况。方法:选取CT检查联合手术病理检查证实均为肝细胞肝癌的患者48例,使用8排螺旋CT进行多期动态增强扫描检查(动脉期、门静脉期、平衡期),并对各期CT检查图像重建分析。结果:动脉期患者螺旋CT扫描显示高密度强化患者33例(68.75%),显著高于低密度无强化患者15例(31.25%);门静脉期患者螺旋CT扫描结果显示高密度强化患者5例(10.42%),等密度强化12例(25.00%),两者均显著低于低密度强化的31例(64.58%);平衡期患者39例(81.25%)为低密度无强化,显著高于混合低密度强化的9例(18.75%),差异均有统计学意义(P<0.05)。结论:8排螺旋CT分期增强扫描诊断肝细胞肝癌能有效提升临床诊断效果,值得推广应用。 Objective:To investigate the application value of Multi-phase dynamic 8-slices spiral CT in the diagnosis of hepatocellular carcinoma.Methods:48 patients with hepatocellular carcinoma were selected,preoperative CT scan and multi-phase enhanced scan were performed using GE 8-slices spiral CT machine,including the early arterial phase enhanced scanning,late arterial,venous phase and delayed phase.CT data were analyzed using post-processing workstation.The features of the tumors were observed through the MPR,VR and MIP.Results:The arterial phase with spiral CT scan showed a high density of 33 patients(68.75%),significantly higher than that of low density in 15 cases(31.25%);no enhancement in the portal venous phase with spiral CT scan results in a high density enhancement in 5 cases(10.42%),the density enhancement in 12 cases(25%),they were both lower than that of the low density in 31 cases(64.58%);39 cases of patients with balance(81.25%) were of low density with no enhancement,significantly higher than that of mixed low density enhancement in 9 cases(18.75%),the differences were statistically significant(P〈0.05).Conclusion:Multi-phase dynamic spiral CT of hepatocellular carcinoma with high detection rates,can clearly show the characteristics of the tumor,it has high application value.
作者 袁登翔
出处 《亚太传统医药》 2013年第7期216-218,共3页 Asia-Pacific Traditional Medicine
关键词 多层螺旋CT 多期动态增强扫描 肝细胞 肝癌诊断 Multi-slice Spiral CT Multiphase Dynamic Enhanced Scanning Liver Cells Liver Cancer Diagnosis
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