摘要
目的分析CT、MRI联合诊断肝内肝细胞癌患者的效果及准确率。方法选取2019年12月至2022年12月收治的80例疑似肝内肝细胞癌患者为研究对象,所有研究对象入组后均先行CT检查,再行MRI检查。比较CT、MRI单独及联合检查对肝内肝细胞癌的诊断效能、疾病鉴别准确率。结果CT、MRI单独检查对肝内肝细胞癌的诊断准确度、灵敏度、特异度、阳性预测值、阴性预测值比较,差异无统计学意义(P>0.05);CT、MRI联合检查对肝内肝细胞癌的诊断准确度、灵敏度、特异度、阳性预测值、阴性预测值高于单独检查,差异具有统计学意义(P<0.05)。CT、MRI单独检查对肝内肝细胞癌腺癌、鳞癌、腺鳞癌的鉴别诊断准确率比较,差异无统计学意义(P>0.05);CT、MRI联合检查对肝内肝细胞癌腺癌、鳞癌、腺鳞癌的鉴别诊断准确率高于单独检查,差异具有统计学意义(P<0.05)。结论CT、MRI联合检查对肝内肝细胞癌患者的诊断效能较高。
Objective To analyze the effect and accuracy of combined diagnosis of CT and MRI in patients with intrahepatic hepatocellular carcinoma.Methods A total of 80 patients with suspected intrahepatic hepatocellular carcinoma admitted from December 2019 to December 2022 were selected as the study subjects.All subjects underwent CT examination and MRI examination after enrollment.To compare the diagnostic efficacy and disease identification accuracy of CT,MRI alone and combined examination for intrahepatic hepatocellular carcinoma.Results There were no significant difference in the diagnostic accuracy,sensitivity,specificity,positive predictive value and negative predictive value of CT and MRI alone examination in the diagnosis of intrahepatic hepatocellular carcinoma(P>0.05);the diagnostic accuracy,sensitivity,specificity,positive predictive value and negative predictive value of CT and MRI combined examination for intrahepatic hepatocellular carcinoma were higher than those of alone examination,and the differences were statistically significant(P<0.05).There were no significant difference in the accuracy of differential diagnosis of intrahepatic hepatocellular carcinoma adenocarcinoma,squamous cell carcinoma and adenosquamous carcinoma by CT and MRI alone examination(P>0.05);the accuracy of CT and MRI combined examination in the differential diagnosis of adenocarcinoma,squamous cell carcinoma and adenosquamous carcinoma of intrahepatic hepatocellular carcinoma were higher than those of alone examination,and the differences were statistically significant(P<0.05).Conclusion The CT and MRI combined examination has a high diagnostic efficiency for patients with intrahepatic hepatocellular carcinoma.
作者
翟德凯
李春景
ZHAI Dekai;LI Chunjing(Nanjing Meishan Hospital,Nanjing 210039;Jinan Zhangqiu District People's Hospital,Jinan 250200,China)
出处
《临床医学研究与实践》
2024年第7期114-117,共4页
Clinical Research and Practice
关键词
肝内肝细胞癌
CT
MRI
联合诊断
诊断效能
intrahepatic hepatocellular carcinoma
CT
MRI
combined diagnosis
diagnostic efficacy
