原发性肝癌动脉化疗栓塞术后血供改变的CT和DSA评价对比研究  

Comparative research of CT and DSA on blood supply change of the primary hepatocellular carcinoma after transcatheter arterial

作　　者：唐上坤[1] 何伟明[1] 罗祖光[1] 郑容[1] 

机构地区：[1]广东医学院第三附属医院医学影像科,广东茂名525011

出　　处：《中国现代医生》2012年第18期89-91,共3页China Modern Doctor

摘　　要：目的对比分析CT和DSA评价原发性肝细胞癌(HCC)经导管动脉化疗栓塞(TACE)治疗后原发肿瘤残存血供改变的价值。方法对78个原发肝癌病灶行TACE治疗,在第1次TACE后1.5～5个月行CT检查,CT检查后7 d内行DSA检查。分析对比CT和DSA在显示原发病灶残存血供数量和血供来源的结果,并与临床6个月以上随访(平均9.4个月)结果相对比。结果 CT和DSA的总体符合率为92.3%(72/78),然而两项检查的显示率和准确性之间均有统计学差异(P<0.05)。结论 DSA和CT都能较准确显示HCC在TACE后原发病灶残存血供数量和血供来源,在评价TACE疗效准确性方面,DSA优于CT,但CT为无创伤性检查技术,更便于临床随访采用。Objective To analyze of CT and DSA evaluation of primary liver cell carcinoma（HCC） by transcatheter arterial chemoembolization （TACE） after treatment of the primary tumor residual blood supply change value. Methods 78 primary hepatocellular lesions were treated in TACE, in first TACE after 1.5 to 5 months for CT examination,after CT examination then had DSA check in 7 days. Analysis and comparison of CT and DSA in primary foci showed residual blood supply quantity and the blood supply to the results,and in contrasted to the results of clinical up for more than 6 months（mean 9.4 months）. Results The CT and DSA total coincidence rate was 92.3%（72/78） ,however the display rate and accuracy of two check were statistical differenees（P 〈 0.05）. Conclusion Both DSA and CT could accurately display the HCC TACE in the primary lesion remnants of blood supply and blood supply quantity, in the evaluation of the efficacy of TACE in terms of accuracy ,DSA was superior to CT,but CT was a noninvasive technique ,it was convenient for clinical use.

关 键 词：原发性肝癌 动脉化疗栓塞术 血管数字减影 计算机断层扫描 肿瘤血供 影像学评价 

分 类 号：R735.7[医药卫生—肿瘤]