摘要
目的比较MRI与增强CT对原发性肝癌肝动脉化疗栓塞术后效果评估的价值。方法选择2015年9月至2017年9月于本院行经导管肝动脉化疗栓塞(transcatheter arterial chemoembolization,TACE)治疗的60例原发性肝癌患者为研究对象,所有患者均于术后1～6个月行MRI、增强CT、数字减影血管造影(digital subtraction angiography,DSA)检查。将MRI、增强CT检查结果与DSA检查结果进行对比分析,比较MRI与增强CT检查对肝癌TACE术后效果评估的价值。结果 MRI检查对术后肿瘤残余或复发病灶的检出率显著高于增强CT检查(χ~2=4.9306,P=0.0062);MRI检查对于发现术后肿瘤残余或复发病灶的灵敏度及符合率均显著高于增强CT检查(P<0.05)。MRI检查对术后肿瘤包膜病灶的检出率显著高于增强CT检查(χ~2=6.3030,P=0.0121)。结论 MRI检查对肝癌TACE术后肿瘤残余或复发病灶的检出率优于增强CT检查,并可较好地显示肿瘤包膜病灶情况。
Objective To investigate the value of MRI and enhanced CT in evaluating the effect of transcatheter arterial chemoembolization(TACE)for primary hepatocellular carcinoma.Method 60 patients with primary hepatocellular carcinoma who were treated by transcatheter arterial chemoembolization(TACE)in our hospital from September 2015 to September 2017 were selected as the subjects.All patients were examined by MRI,enhanced CT and digital subtraction angiography(DSA)1~6 months after operation.The results of MRI and enhanced CT examination were compared with the results of DSA examination.The value of MRI and enhanced CT examination in evaluating the effect of TACE were compared.Result The detection rate of MRI examination were significantly better than that of enhanced CT in the detection of postoperative residual or recurrent tumor(χ2=4.9306,P=0.0062),and the sensitivity and coincidence rate of MRI examination for the detection of residual or recurrent tumors after operation were significantly higher than that of enhanced CT(P<0.05).The detection rate of the tumor capsule focus after MRI examination was significantly higher than that of enhanced CT examination(χ2=6.3030,P=0.0121).Conclusion The detection rate of residual or recurrent tumor after TACE in primary hepatocellular carcinoma by MRI is better than that of enhanced CT,and it is better to show the tumor capsule focus.
作者
林志东
范龙
文宠佩
王宾
LIN Zhi-dong;FAN Long;WEN Chong-pei;WANG Bin(Department of Radiology,Second Affiliated Hospital of Hainan Medical College,Haikou 570311,China)
出处
《中国医学前沿杂志（电子版）》
2018年第5期107-110,共4页
Chinese Journal of the Frontiers of Medical Science(Electronic Version)
关键词
MRI
增强CT
原发性肝细胞肝癌
肝动脉化疗栓塞术
MRI
Enhanced CT
Primary hepatocellular carcinoma
Transcatheter arterial chemoembolization
