术前MSCT肝静脉成像技术对肝肿瘤切除时肝静脉损伤的预测预防价值  

The predictive and preventative value of preoperative MSCT angiography in assessment of hepatic veins injury during the resection of hepatic tumors

作　　者：黄军荣[1] 张玉兰[1] 王在国[2] 叶振伟[2] 王志炜[1] 吴凤英[1] 

机构地区：[1]广东省东莞市人民医院放射科 [2]广东省东莞市人民医院肿瘤外科,523018

出　　处：《中国CT和MRI杂志》2011年第1期45-47,共3页Chinese Journal of CT and MRI

基　　金：东莞市科技局立项课题(NO:200810510009)

摘　　要：目的探讨总结术前MSCT肝静脉成像技术对第二肝门部肿瘤切除时主肝静脉损伤的预测价值和预防损伤的指导价值。方法对60例第二肝门部肿瘤患者术前常规行MSCT检查及主肝静脉三维成像,观察记录肿瘤大小、数目、与主肝静脉之间的关系及距离,评估肿瘤切除术中主肝静脉损伤的机率大小以及避开主肝静脉损伤的操作途径,然后实施肿瘤切除,并对术前评估的准确性作出评价。结果术前MSCT肝静脉成像技术对第二肝门部肿瘤切除时主肝静脉损伤预测的准确性为100%,并且有助于指导预防主肝静脉损伤的手术方案的制定。结论术前MSCT肝静脉成像技术可以准确预测主肝静脉损伤的可能性并指导制定预防损伤的相应方案。Objective To investigate the predictive and preventative value of preoperative MSCT angiography of hepatic veins in assessment of hepatic veins injury during the resection of hepatic tumors at the secondary porta of liver. Methods 60 patients with hepatic tumors at the secondary portal of liver were examined with MSCT angiography of hepatic veins by using post-process of MIP, MPR, VR and SSD reconstruction before operation. We observed and analyzed the size and the numbers of the tumors, and focused on the anatomic relations between the tumors and the adjacent main branches of hepatic veins, then assessed the probability of hepatic veins injury during operation and planned a safe operative approach. The MSCT findings was evaluated by comparison with surgical operation findings. Results The accuracy of preoperative MSCT angiography evaluation was 100%,which was very helpful for the surgeons in the treatment planning. Conclusions Preoperative MSCT angiography can accurately assess the hepatic veins injury during the resection of hepatic tumors at the secondary portal of liver and guide to design the preventative surgical treatment. [

关 键 词：肝肿瘤 第二肝门 主肝静脉 MSCT检查 

分 类 号：R735.7[医药卫生—肿瘤] R445.2[医药卫生—临床医学]