| 李振明 姜晓静.肝动脉造影和碘油CT 对小肝癌的诊断( 附15 例报告)[J].,2006,6(2):67-68 |
| 肝动脉造影和碘油CT 对小肝癌的诊断( 附15 例报告) |
| Using Hepatic Arteriography & Lipiodol CT in the Diagnosis of SmallHepatocellular Carcinoma: report of 15 cases |
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| DOI： |
| 中文关键词: 肝肿瘤 碘油 肝动脉 血管造影 |
| 英文关键词: Liver neoplasms Lipiodol( LIP) Hepatic artery Angiography |
| 基金项目: |
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| 中文摘要: |
| 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、平扫及
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。 |
| 英文摘要: |
| Objective: To investigate the clinical applying value of using hepatic arteriography(HAG) and Lipiodol CT( LIP CT) in the d-i
agnosis of small hepatocellular carcinoma( SHCC) . Methods: 14 patients with SHCC and 1 patient with angioma( aged 31 to 64 years) , whose intrahepatic
foci were confirmed to be less than or equal to 1 cm by ultrasonography, 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, hepatocellular carcinoma foci were 41 and
angioma focus was 1. All the 15 patients were detected by five kinds of imaging examinations( i. e. ultrasonography, CT, MRI, 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. |
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