摘要
目的探讨16排螺旋CT对原发性小肝癌射频消融术后的随访价值。方法收集经临床确诊为原发性小肝癌并有射频消融治疗手术史的病例25例,对术后1个月-3年内CT和MRI检查的影像资料进行回顾性的分析总结,其中16排螺旋CT平扫及增强检查15例,MRI平扫及增强检查10例。结果 15例CT检查患者共有26个病灶,射频消融术后完全消融的病灶24个,不完全消融的病灶2个,5例患者肝内远处再发。10例MRI检查患者原共13个病灶,射频消融术后完全消融的病灶12个,不完全消融的病灶1个,2例患者肝内远处再发。CT与MRI检查结果差异无统计学意义（P〉0.05）。结论与MRI检查比较,16排螺旋CT扫描技术对原发性肝癌射频消融治疗术后病灶的变化同样能进行客观的监测评价,是原发性小肝癌射频消融治疗术后随访评价的重要手段。
Objective To investigate the value of 16-slice spiral CT in the follow up of primary small HCC after radiofrequency ablation. Methods Twenty-five cases of primary small hepatocellular carcinoma with radiofrequency ablation history were observed. The image data of CT and MRI examinations within 1 month to 3 years after operation were retrospectively analyzed and summarized. Fifteen cases took 16-slice spiral CT plain scan and enhancement scan, while ten cases were performed plain and dynamic enhancement MR/examination. Results Twenty-four lesions in fifteen patients with CT scan were complete ablation after radiofrequency ablation, while two lesions were partial ablation. Five patients had distant intrahepatic recurrence. With MRI examination, twelve lesions in ten patients who primitively had thirteen lesions were complete ablation after radiofrequency ablation. There was only one incomplete ablation lesion, and two patients with intrahepatic distant recurrence. There was no statistically significant difference between CT and MRI （P〉0.05）. Conclusion Compared with MRI examination, 16-slice spiral CT can also be used for objectively monitoring and evaluating the change of primary HCC after radiofrequency ablation. It is a very important method in the follow-up of primarvy small HCC after radiofrequency ablation.
出处
《肝胆胰外科杂志》
CAS
2015年第3期200-203,共4页
Journal of Hepatopancreatobiliary Surgery
关键词
16排螺旋CT
原发性肝癌
射频消融
随访价值
16-slice spiral CT
primary hepatocellular carcinoma
radiofrequency ablation
follow-up value
