摘要
目的：探讨肝动脉造影和碘油CT对小肝癌诊断和临床应用价值。材料和方法：临床诊断肝癌术后复发、超声、平扫厦增CT检查、MRI检查肝内病灶最大径≤1cm患者15例。经股动脉插管肝动脉造影观察肿瘤染色后再注入碘油4～12ml。1—4周后作CT扫描，再根据CT检查结果作出诊断。结果：15例共发现42个病灶。在41个小肝癌病灶中五种影像方法检出率分别为超声70．6％，CT60％，MRI66％，血管造影88．5％，碘油CT99％。肝动脉造影和碘油CT均明显为优。结论：本研究显示肝动脉造影和碘油CT是目前诊断小肝癌最敏感和准确的影像方法之一。
Objective： To investigate the clinical applying value of using hepatic arteriography（HAG） and Lipiodol CT（LIP CT） in the diagnosis of small hepatoeellular careinoma（SHCC）. Methods： 14 patients with SHCC and 1 patient with angioma（aged 31 to 64 years）, whose intrahepatie foei were confirmed to be less than or equal to 1 cm by ultmsonography, enhanced CT, MRI, and so on, were further made a definite diagnosis by HAG and LIP CT and their clinical data were analysed. Results： Among the 15 patients, hepatoeelhlar carcinoma foei were 41 and angioma focus was 1. All the 15 patients were detected by five kinds of imaging examinatiom（i.e.ultmsonography, CT, MPd, angiography and LIP CT）, whose detection rates were 70.6%, 60%, 66%, 88.5% and 99%, respectively; the latter two were superior to the former three. Conclusion： In this study,HAG and LIP CT should be considered as one of the most sensitive and accurate imaging examinations in the diagnosis of SHCC.
出处
《现代生物医学进展》
CAS
2006年第2期67-68,共2页
Progress in Modern Biomedicine
关键词
肝肿瘤
碘油
肝动脉
血管造影
Liver neoplasms
Lipiodol（LIP）
Hepatic artery
Angiography
