引用本文:梁玉安.多层螺旋CT多期增强扫描在原发性肝癌诊断中的应用价值[J].中国临床新医学,2017,10(5):473-475.
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多层螺旋CT多期增强扫描在原发性肝癌诊断中的应用价值
梁玉安
532300 广西,大新县人民医院放射科
摘要:
[摘要] 目的 探讨多层螺旋CT(MSCT)多期增强扫描在原发性肝癌(PLC)诊断中的价值。方法 回顾性分析2013-01~2016-10该院收治的96例经临床确诊为PLC的患者MSCT图像资料,总结其图像特征。结果 96例中共检出396个病灶。平扫发现64例(66.7%),表现为低密度或以低密度为主;多期增强扫描:动脉期有93例(96.9%)显示为不均匀高密度强化,内可见细小肿瘤血管影,门静脉期有78例(81.3%)显示为病灶强化逐渐减退,延迟期有89例(92.7%)显示为病灶强化继续减退,呈低密度改变,整个强化过程表现为“速升速降”特征。结论 MSCT多期扫描能更清楚地显示PLC的特征,对PLC的早期诊断具有较高的临床价值,值得推广应用。
关键词:  原发性肝癌  多层螺旋CT  多期扫描  诊断
DOI:10.3969/j.issn.1674-3806.2017.05.22
分类号:R 445
基金项目:
Diagnosing Value of Multiple-phase Scanning of multi-spiral computer tomography on Primary Liver Cancer
LIANG Yu-an
Department of Radiology, the People′s Hospital of Daxin County, Guangxi 532300, China
Abstract:
[Abstract] Objective To evaluate the diagnosing value of multiple-phase scanning of multi-spiral computer tomography(MSCT) on primary liver cancer.Methods From January 2013 to October 2016, ninety-six patients proven by histological examination as primary liver cancer(PLC) were included in this study. The imaging data of MSCT scanning of the patients were analyzed retrospectively.Results There were 396 lesions in 96 patients. Scan mode detected that the signal of 64(66.7%) cases was low density or mainly low density, and there were 93(96.9%) cases with high density in arterial phase. There were 78(81.3%) cases with low density in portal vein phase, and 89(92.7%) cases with low density in delay phase, which presented as“quick ascent and quick descent”.Conclusion MSCT can clearly reflect PLC, which has a higher clinical value on diagnosing PLC.
Key words:  Primary liver cancer(PLC)  Multi-spiral computer tomography(MSCT)  Multiple-phase scanning  Diagnosis