双源64排螺旋CT三期动态增强扫描评估肝脏血管瘤血供在介入治疗的临床意义  

Clinical Significance of Dual-source 64-slice Spiral CT Three-phase Dynamic Enhanced Scan in Evaluating Blood Supply of Hepatic Hemangioma in Interventional Therapy

作　　者：徐兴明[1] 滕红[1] 谢英[1] 赵张平[1] 陈友琼[1] XU Xing-ming;TENG Hong;XIE Ying(Department of Image,Center Panzhihua Central Hospital,Panzhihua 617067,Sichuan Province,China)

机构地区：[1]四川省攀枝花市中心医院影像中心

出　　处：《中国CT和MRI杂志》2019年第10期69-71,共3页Chinese Journal of CT and MRI

基　　金：2015年度四川省科技厅项目(2015080514)

摘　　要：目的分析64排双源电子计算机断层扫描(DSCT)三期动态增强扫描评估肝脏血管瘤血供在介入治疗的临床意义。方法回顾性分析我院68例行经股动脉穿刺介入治疗的肝脏血管瘤患者临床资料。根据最大瘤体直径分为5~10cm组(46例),>10cm组(22例);根据血供情况分为富血供组(39例)和乏血供组(29例),并比较瘤体缩小率、动脉期强化比率缩小率差异。结果68患者治疗显效10例(14.71%),有效35例(51.47%),无效23例(33.82%),总有效率66.18%。术后180天时,5~10cm组瘤体缩小率、动脉期强化比率缩小率均高于>10cm组(P<0.05),富血供组瘤体缩小率、动脉期强化比率缩小率均高于乏血供组(P<0.05)。结论DSCT三期动态增强扫描可有效观察肝脏血管瘤血供,而评估介入治疗适应性及效果,使患者得到更适合的治疗方式。Objective To analyze the clinical significance of 64-slice dual-source computed tomography (DSCT) three-phase dynamic enhanced scan in the evaluation of blood supply of hepatic hemangioma in interventional therapy.Methods The clinical data of 68 patients with hepatic hemangioma who underwent transfemoral puncture intervention in our hospital were retrospectively analyzed.According to the maximum tumor diameter, the patients were divided into 5 ~ 10cm group (46 cases) and > 10cm group (22 cases);According to the blood supply,the patients were divided into rich blood supply group (39 cases) and deficient blood supply group (29 cases).The differences of tumor shrinkage rate and arterial enhancement rate were compared.Results Among the 68 patients,there were 10 (14.71%) markedly effective cases,35 (51.47%) effective cases and 23 (33.82%) ineffective cases,and the total effective rate was 66.18%.180 days after operation,the tumor shrinkage rate and the reduction rate of arterial phase enhancement ratio in 5-10 cm group were higher than those in >10 cm group (P<0.05),and the tumor shrinkage rate and the reduction rate of arterial phase enhancement ratio in rich blood supply group were higher than those in poor blood supply group (P<0.05).Conclusion DSCT three-phase dynamic enhanced scan can effectively observe the blood supply of hepatic hemangioma,and evaluate the adaptability and effects of interventional therapy,so that patients can get a more suitable treatment method.

关 键 词：肝脏血管瘤 双源CT 64排螺旋CT 三期动态增强扫描 介入治疗 

分 类 号：R445.3[医药卫生—影像医学与核医学] R735.7[医药卫生—诊断学]