浅谈64层螺旋CT血管成像技术在肝癌外科中的应用

发布时间：2018-05-16 06:01

本文选题：螺旋CT + 血管成像技术　；参考：《现代医用影像学》2016年05期

【摘要】：目的:探讨64层螺旋CT血管成像技术在肝癌外科中的应用。方法:选取2014年12月~2015年12月我院肝癌外科收治的108例患者为研究对象,回顾分析其临床资料,分析64层螺旋CT血管成像技术的应用效果。结果:本组84例原发性肝癌,其中55例为肿瘤染色、50例为肿瘤血管、46例为肿瘤供血动脉,同时,36例供血动脉有增粗、僵直情况,33例血管有移位情况,22例有DSA对照,经64层螺旋CT检查,在肝癌血动脉方面,检出准确率为90.91%(20/22);24例转移性肝癌,经检查肝内多发性质相同病灶,仅6例血管有增粗;本组70例原发性肝癌给予外科治疗,30例给予介入治疗,其中5例为肿瘤供血动脉变异;40例给予手术治疗,三维成像显示,25例肿瘤未侵犯血管及邻近组织、10例肿瘤侵犯血管及邻近组织、3例门静脉癌栓、2例动静脉瘘,与术中结果相比,准确率为97.50%(39/40)。结论:在肝癌外科中的应用64层螺旋CT血管成像技术,快速、精准,为了介入与手术治疗提供了可靠的肝脏血管结构信息,在此基础上,不仅降低了手术的难度,也提高了治疗效果。
[Abstract]:Objective: to investigate the application of 64-slice spiral CT angiography in liver cancer surgery. Methods: the clinical data of 108 patients with liver cancer from December 2014 to December 2015 in our hospital were retrospectively analyzed and the results of 64-slice spiral CT angiography were analyzed. Results: among the 84 cases of primary liver cancer, 55 cases were tumor staining, 50 cases were tumor vessels, 46 cases were tumor supplying arteries, 36 cases were thickening, 33 cases were rigidity, 22 cases were DSA. After 64-slice spiral CT examination, the accuracy of detecting hepatic artery was 90.91% and 20 / 22% respectively in 24 cases of metastatic liver cancer. The same lesions were found in the liver and only 6 cases had thickening of blood vessels. In this group, 70 cases of primary liver cancer were treated by surgical treatment and 30 cases were treated with interventional therapy. Three-dimensional imaging showed that 25 cases of tumor without invasion of blood vessels and adjacent tissues 10 cases of tumor invasion of blood vessels and adjacent tissues 3 cases of portal vein tumor thrombus 2 cases of arteriovenous fistula compared with the operative results the accuracy is 97.50% 39% 40%. Conclusion: the application of 64-slice spiral CT angiography in liver cancer surgery is rapid and accurate. It provides reliable information on hepatic vascular structure for interventional and surgical treatment. On this basis, it not only reduces the difficulty of operation. The therapeutic effect was also improved.
【作者单位】：厦门市海沧医院放射科;
【分类号】：R735.7;R730.44

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