多种影像学结合对混合型肝癌的诊断及对手术策略制定的意义  

Multiple imaging contribute to diagnosis and surgical strategies of hepatocellular carcinoma combined with cholangiocarcinoma

作　　者：纪思淇 赵冲[1] 方友发 刘鹏[1] 邓川[1] 郭俊强[1] 韩涛[2] 韩磊[3] 

机构地区：[1]锦州医科大学解放军沈阳军区总医院研究生培养基地,110016 [2]解放军沈阳军区总医院肿瘤科 [3]解放军沈阳军区总医院肝胆外科

出　　处：《中国临床实用医学》2017年第4期15-18,共4页China Clinical Practical Medicine

基　　金：辽宁省博士科研启动基金（201501022）

摘　　要：目的 探讨多种影像学方法相结合对混合型肝癌的诊断价值及对手术策略的影响.方法 选取2015年1月至2017年6月解放军沈阳军区总医院肝胆外科收治的6例肝癌患者,通过CT、MRI及三维重建多种影像学方法相结合的方式,判断患者是否可能为混合型肝癌;并提示患者的肿瘤分期及转移情况,结合患者的自身情况评估患者是否可接受外科手术.结果 术后病理检查证实6例患者均为HCC-CC.对4例患者行根治性R0切除,对2例患者行姑息性手术.术后效果较好.结论 多种影像学技术相结合,有助于术前对混合型肝癌的诊断,并对于患者能否手术及手术策略的制定具有积极的意义.Objective To explore the multiple imagingcontribute to diagnosis and surgical strategies of hepatocellular carcinoma combinedwith cholangiocarcinoma（HCC-CC）.Methods Six patients with liver cancer from Janurary2015 to June 2017 were included in the General Hospital of Shenyang Military.CombineCT,MRI and three-dimensional imaging,All the patients were determined if theywere HCC-CC,and suggested tumor staging and metastasis,assessed whether the patient could undergo the surgery.Results Six patients were HCC-CC throughpathological examination.4 of them underwent radical R0 resection and theother patients underwent routine palliative surgery.All patients were satisfiedwith the result.Conclusion Comboinedmultiple Imaging can help todiagnose HCC-CC,there is a positive effect on the patient′s surgical andsurgical strategies.

关 键 词：混合型肝癌 影像学 影像学诊断 手术策略 

分 类 号：R735[医药卫生—肿瘤] R730[医药卫生—临床医学]