摘要
目的基于CT影像学检查分析孤立性肝细胞癌微血管侵犯的诊断价值。方法选取医院2017年1月至2018年12月收治的经病理学证实为孤立性肝细胞癌微血管侵犯患者70例进行CT检查,以符合病理诊断为阳性标准。结果CT诊断单发病灶阳性率高于多发病灶阳性率(P<0.05),并且多发病灶误诊率高于单发病灶误诊率(P<0.05)。CT诊断A、B、C期阳性率高于其误诊率(P<0.05)。CT诊断Child-pugh分级阳性率高于其误诊率(P<0.05)。CT诊断孤立性肝细胞癌微血管侵犯分化阳性率高于其误诊率(P<0.05)。CT诊断孤立性肝细胞癌微血管侵犯单发病灶或多发病灶、BCLC分期、Child-pugh分级、分化程度灵敏度、特异度、准确率、阴性预测值、阳性预测值差异比较无统计学意义(P>0.05)。结论CT影像学检查能明显提升孤立性肝细胞癌微血管侵犯的诊断价值,有利于临床制定个性化治疗方案,提高预后。
Objective To investigate the diagnostic value of microvascular invasion in solitary hepatocellular carcinoma based on CT imaging.Methods 70 cases of pathologically confirmed patients with microvascular invasion of isolated hepatocellular carcinoma admitted to the hospital from January 2017 to December 2018 were selected.All the selected patients underwent CT imaging examination and pathological examination,and the results of the two methods were compared.Results In CT diagnosis,the positive rate of single focus was higher than that of multiple focus(P<0.05),and the misdiagnosis rate of multiple focus was higher than that of single focus(P<0.05).The positive rate of CT in the diagnosis of stage A,B and C was higher than that of misdiagnosis rate(P<0.05).The positive diagnostic rate of Child-pugh classification by CT was higher than that in misdiagnosis(P<0.05).The positive diagnostic rate of microvascular invasion and differentiation of solitary hepatocellular carcinoma by CT was higher than that of misdiagnosis rate(P<0.05).The sensitivity,specificity,accuracy,negative predictive value and positive predictive value of CT in the diagnosis of single or multiple focus,BCLC stage,Child-pugh grade and differentiation degree had no significant difference(P>0.05).Conclusion CT imaging can significantly improve the diagnosis value of microvascular invasion of isolated hepatocellular carcinoma,which can provide basis for personalized treatment plan and improve the prognosis.
作者
刘海
薛永明
付伟
许华
LIU Hai;XUE Yong-ming;FU Wei;XU Hua(Department of Imaging,3201 Hospital,Hanzhong 723000,Shaanxi Province,China;Department of radiology,the Eighth Hospital of Xi'an,Hanzhong 723000,Shaanxi Province,China)
出处
《中国CT和MRI杂志》
2021年第10期98-100,103,共4页
Chinese Journal of CT and MRI
关键词
CT
孤立性肝细胞癌
微血管侵犯
诊断
分期
CT
Solitary Hepatocellular Carcinoma
Microvascular Invasion
Diagnosis
Stage
