摘要
目的探讨CT肝动脉造影(CT hepatic arteriography,CTHA)联合动脉门脉造影(CT during arterial portography,CTAP)对小肝癌(small hepatocellular carcinoma,SHCC)的诊断价值。方法分析经手术、病理证实的13例小肝癌的行常规CT双期增强扫描、CTAP和CTHA检查,分析影像表现,比较CTHA、CTAP和双期增强扫描对SHCC的检查率。结果13例SHCC患者手术病理共发现14个小肝癌病灶。常规双期CT检出9例患者的9个病灶(9/14,64.4%)。CTHA病灶检出率为12例患者的13个病灶(13/14,92.9%),CTAP检出10例病灶的10个病灶(10/14,71.4%)。CTHA联合CTAP检出所有患者的全部病灶(14/14,100%)。结论CTHA、CTAP双联技术是诊断SHCC较为理想的影像学手段。
Objective To evaluate the utility of CT hepatic arteriography （CTHA） and CT arterial portography （CTAP） in the diagnosis of small hepatocellular carcinoma （SHCC）. Methods Dynamic contrast-enhanced CT, CTAP and CTHA were performed in thirteen patients with SHCC proved by surgical and pathology. The features of these three methods were analyzed. The detectability of the SHCCs by the three strategies was compared. Results Fourteen lesions were found in 13 patients by surgery and pathology. Nine lesions were detected by dynamic contrast-enhanced CT in 9 patients（9/14,64.4% ）, 13 lesions were found by CTHA in 12 patients （13/14,92.9%） while 10 lesions were demonstrated by CTAP in 10 patients（10/14,71.4%）. All 14 lesions were found by combination of CTHA and CTAP （14/14,100%）. Conclusion CTHA combined with CTAP were satisfied methods in detection of SHCC.
出处
《影像诊断与介入放射学》
2009年第1期30-32,共3页
Diagnostic Imaging & Interventional Radiology
基金
广东省科技厅立项课题编号63094
广州市卫生局资助研究课题编号2006-YB-087
关键词
癌
肝细胞
电子计算机断层扫描
Carcinoma, Hepatocellular
Computer tomography
