多层螺旋CT动态增强扫描对肝细胞癌合并肝动脉-门静脉瘘的诊断价值  

The diagnostic value of dynamic contrast-enhanced multi-slice spiral CT in hepatocellular carcinoma with intrahepatic arterial-portal fistula

作　　者：刘勇[1] LIU Yong(the People's Hospital of Zhengzhou,Zhengzhou 450000,China)

机构地区：[1]郑州人民医院,河南郑州450000

出　　处：《临床医学研究与实践》2020年第15期98-99,共2页Clinical Research and Practice

摘　　要：目的探究多层螺旋CT动态增强扫描对肝细胞癌合并肝动脉-门静脉瘘的诊断价值。方法选择2018年10月至2019年10月本院收治的50例肝细胞癌患者作为研究对象。所有患者均接受多层螺旋CT动态增强扫描和数字化血管造影诊断。将数字化血管造影结果视为金标准,分析多层螺旋CT动态增强扫描结果。结果数字化血管造影检出19例肝动脉-门静脉瘘,多层螺旋CT动态增强扫描检出16例肝动脉-门静脉瘘(中央型9例、周围型7例)。多层螺旋CT动态增强扫描检测肝细胞癌患者肝动脉-门静脉瘘的灵敏度为84.21%,特异度为41.94%,漏诊率为15.79%,误诊率为58.06%。结论多层螺旋CT动态增强扫描在肝细胞癌合并肝动脉-门静脉瘘患者诊断中能够取得较为理想的效果,值得推荐。Objective To explore the diagnostic value of dynamic contrast-enhanced multi-slice spiral CT in hepatocellular carcinoma with intrahepatic arterial-portal fistula. Methods Fifty patients with hepatocellular carcinoma enrolled in our hospital from October 2018 to October 2019 were selected as the study objects. All patients received dynamic contrast-enhanced multi-slice spiral CT and digital angiography. The results of digital angiography were regarded as the gold standard, and the results of dynamic contrast-enhanced multi-slice spiral CT were analyzed. Results Nineteen cases with intrahepatic arterial-portal fistula were detected by digital angiography, and 16 cases by dynamic contrast-enhanced multi-slice spiral CT, including 9 cases of central type and 7 cases of peripheral type. The sensitivity,specificity, missed diagnosis rate and misdiagnosis rate of dynamic contrast-enhanced multi-slice spiral CT were 84.21%,41.94%, 15.79% and 58.06% respectively. Conclusion Dynamic contrast-enhanced multi-slice spiral CT can achieve ideal effect in the diagnosis of hepatocellular carcinoma with intrahepatic arterial-portal fistula, which is worth recommending.

关 键 词：多层螺旋CT动态增强扫描 肝细胞癌 肝动脉-门静脉瘘 

分 类 号：R735.7[医药卫生—肿瘤]