| 白利杰,黄 江,沈美铖,陈 鑫,李建龙.CT对于肝脏良性占位性病变及肝癌的鉴别诊断价值分析[J].,2017,17(4):742-745 |
| CT对于肝脏良性占位性病变及肝癌的鉴别诊断价值分析 |
| Clinical Value of CT in Differential Diagnosis of Liver Benign Lesion and Liver Cancer |
| 投稿时间：2016-06-07 修订日期：2016-06-30 |
| DOI：10.13241/j.cnki.pmb.2016.36.037 |
| 中文关键词: 原发性肝癌 肝转移癌 肝血管瘤 CT灌注扫描 鉴别诊断 |
| 英文关键词: Primary liver cancer Metastasis liver cancer Hepatic hemangioma CT perfusion Differential diagnosis |
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| 中文摘要: |
| 摘要 目的：探讨CT对于肝脏良性占位性病变及肝癌的鉴别诊断价值。方法：收取2013年3月至2016年3月我院收治的肝脏良性占位性病变及肝癌患者101例作为研究对象，按照病变类型将其分为A、B、C三组。其中A组包含原发性肝癌患者32例，B组包含肝转移癌患者28例，C组包含肝血管瘤患者41例。采用CT全肝灌注扫描模式对三组患者占位病灶组织、病灶周围组织及正常肝脏组织灌注参数进行比较。结果：三组占位病灶组织，B组患者肝动脉灌注量（HAP）最低，C组患者HAP最高；A组患者门静脉灌注量（PVP）最低，C组患者PVP最高，三组两两比较均有显著差异（P<0.05）。C组总肝灌注量（TLP）明显高于A组和B组（P<0.05），A、B组间无统计学差异（P>0.05）。三组肝动脉灌注指数（HPI）无明显差异（P>0.05）；B组病灶周围组织HAP及HPI明显高于A、C组（P<0.05），A、C组间无统计学差异（P>0.05）；三组PVP及TLP差异不显著（P>0.05）；三组正常肝脏组织CT灌注参数均无显著差异（P>0.05）。结论：CT灌注成像对于原发性肝癌、肝转移癌及肝血管瘤具有一定的鉴别诊断价值，但明确诊断仍需结合其他检测方法进行。 |
| 英文摘要: |
| ABSTRACT Objective: To explore the clinical value of CT in differential diagnosis of liver benign lesion and liver cancer. Methods: 101 cases of liver benign lesion or liver cancer accepted in our hospital from March 2013 to March 2016 were selected and divided into group A, B and C according to different diseases. There were 32 patients of primary liver cancer in group A, 28 cases of liver metastasis cancer in group B and 41 cases of hepatic hemangioma in group C. The parameters of perfusion CT of local focus tissues, surrounding tissues and normal tissues of 3 groups were observed and compared. Results: In the comparison of local focus tissues, group B had the lowest and group C had the highest hepatic arterial perfusion (HAP), group A had the lowest and group C had the highest portal venous perfusion (PVP). The differences of 3 groups had statistically significance (P<0.05). The total liver perfusion (TLP) of group C was obviously higher than that of group A and B (P<0.05), and there were no difference between them (P>0.05). HPI of 3 groups had no difference (P>0.05). The HAP of focus surrounding tissues of group B was obviously higher than group A and C (P<0.05), and there were no difference between them (P>0.05). PVP and TLP of 3 groups had no difference (P>0.05). The parameters of normal liver tissues of 3 groups had no difference (P>0.05). Conclusion: The perfusion CT has a certain value in differential diagnosis of liver benign lesion and liver cancer, but we should clarify diagnosis with some other detection. |
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