螺旋CT双期增强扫描在肝癌诊断中的应用

发布时间：2018-01-22 23:51

本文关键词： 螺旋CT 双期增强扫描肝癌诊断　出处：《世界最新医学信息文摘》2016年91期 　论文类型：期刊论文

【摘要】：目的评价螺旋CT双期增强扫描在肝癌诊断的应用价值。方法研究取26例我院经病理确诊的肝癌患者,患者均于2011年1月份-2016年10月份入院诊治。患者均采用螺旋CT双期增强扫描进行诊断。分析26例患者的诊断结果以及图像表现。结果 26例患者检查显示92%平扫为低密度,动脉期54%为高密度影,门静脉期显示低密度影。其中有8例患者为结节型,有13例患者为巨块型,2例患者为弥浸型,3例患者为小肝癌。患者合并症包括肝硬化、乙肝病史、腹水、腹腔及后腹膜淋巴结肿大。结论采用螺旋CT双期增强对肝癌患者进行增强扫描,能够为医师的临床诊断提供更多信息以及依据,定性精确。
[Abstract]:Objective to evaluate the value of dual-phase enhanced spiral CT scan in the diagnosis of hepatocellular carcinoma. Methods 26 patients with liver cancer diagnosed by pathology in our hospital were studied. All patients were admitted to hospital from January 2011 to October 2016. All patients were diagnosed by double phase enhanced spiral CT scan. The diagnostic results and image findings of 26 patients were analyzed. In 26 patients, 92% plain scan showed low density. There were 8 cases of nodular type and 13 cases of giant mass type in 13 cases. Three patients were small hepatocellular carcinoma. The complications included cirrhosis, history of hepatitis B, ascites, abdominal cavity and retroperitoneal lymphadenopathy. It can provide more information and basis for doctors' clinical diagnosis and accurate qualitative analysis.
【作者单位】：山西省晋中市中医院;
【分类号】：R735.7;R730.44
【正文快照】： 肝细胞癌通常亦称为原发性肝癌或肝癌,好发于30岁-60岁,男性多见,发病与乙型肝炎和肝硬化密切相关[1],50%-90%的肝细胞癌合并肝硬化,30%-50%肝硬化并发肝癌。对于肝癌的诊断,传统的CT扫描时间较长,难以对全肝动脉期进行检查,肝癌定性难度较大[2]。螺旋CT扫描速度快,在临床上逐

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