多层螺旋CT血管成像在原发性肝癌中的应用  

The application of multi-slice spiral CT angiography in primary liver cancer

作　　者：邓元明[1] 张龙[1] 温云[1] 

机构地区：[1]重庆三峡中心医院,404000

出　　处：《实用医技杂志》2009年第12期962-963,共2页Journal of Practical Medical Techniques

摘　　要：目的探讨多层螺旋CT(MSCT)血管成像在原发性肝癌治疗的临床应用价值。方法对150例行多层螺旋CT增强检查和数字减影血管造影(DSA)检查及治疗的原发性肝癌患者,分别用最大密度投影(MIP)、多层面重建(MPR)、容积再现(VR)进行MSCT成像,并与DSA作对照观察。结果MSCT腹部血管成像检出变异动脉10例,门静脉癌栓25例,动静脉分流15例,与DSA的检查结果有高度一致性。结论多层螺旋CT腹部血管成像作为一种无创伤的检查技术,可多方位、多角度观察血管走行及其与周围器官的关系,为临床特别是介入治疗和外科手术等都有重要的指导意义。Objective To evaluate the clinical value of multi-slice spiral CT （MSCT） angiography in the treatment of primary liver cancer. Methods One hundred and fifty patients with primary liver cancer, confirmed diagnosised by using MSCT and digital subtraction angiography （DSA）, were examined by using MSCT with technique of maximum intensity projection （MIP）, multiplanar reconstruction （MPR）, volume rendering （VR）, and compared with the results of DSA. Strengthen examination and treatment of, respectively, with for imaging, and DSA for the control observation. Results Ten cases of variant hepatic arteries, 25 cases of portal vein tumor thrombus, 15 eases of arteriovenous shunt were detected by abdominal MSCT angiography, which were in good agreement with the result of DSA test. Conclusion Abdominal MSCT angiography, as a non-invasive inspection technology, could show the courses and relatation with the adjacent organs of the blood vessels, and could provide basis for interventional therapy and operation on primary liver cancer.

关 键 词：体层摄影术 螺旋计算机 血管造影术 腹部 

分 类 号：R735.7[医药卫生—肿瘤]