螺旋CT三期增强扫描对原发性肝癌合并门静脉癌栓诊断效能分析  

Analysis of Spiral CT Phase Ⅲ Enhanced Scan in the Diagnosis Efficacy of Primary Hepatic Carcinoma Complicated with Portal Venous Thromboembolism

作　　者：黄光辉 HUANG Guanghui(Chaoyang Central Hospital,Chaoyang 122000,China)

机构地区：[1]辽宁省朝阳市中心医院,辽宁朝阳122000

出　　处：《中国医学创新》2021年第27期136-140,共5页Medical Innovation of China

摘　　要：目的:研究螺旋CT三期增强扫描对原发性肝癌(PHC)合并门静脉癌栓的诊断效能。方法:回顾性分析2018年1月-2020年12月本院收治的60例PHC合并门静脉癌栓患者临床资料。另选取同期本院收治的60例单纯PHC患者进行对照。分别对所有受试者均进行螺旋CT三期增强扫描以及平扫,比较不同诊断方式的诊断效能。比较不同直径PHC合并门静脉癌栓的螺旋CT三期增强扫描及平扫检出情况。结果:螺旋CT三期增强扫描诊断PHC合并门静脉癌栓的Kappa值为0.95,明显高于螺旋CT三期平扫的0.45。螺旋CT三期增强扫描诊断PHC合并门静脉癌栓的灵敏度、特异度、准确度分别为98.33%(59/60)、96.67%(58/60)、97.50%(117/120),均高于螺旋CT三期平扫的73.33%(44/60)、71.67%(43/60)、72.50%(87/120),差异均有统计学意义(P<0.05)。螺旋CT三期增强扫描对直径1~3 cm及>3 cm的PHC合并门静脉癌栓检出率均高于螺旋CT三期平扫,差异均有统计学意义(P<0.05)。结论:螺旋CT三期增强扫描应用于PHC合并门静脉癌栓的诊断中效果较好,可提高临床诊断价值,具有较高的临床推广应用价值。Objective:To study the diagnostic efficacy of spiral CT phase Ⅲ enhanced scan for primary hepatic carcinoma(PHC)complicated with portal venous thromboembolism.Method:The clinical data of 60 patients with PHC complicated with portal venous thromboembolism admitted to our hospital from January 2018 to December 2020 were retrospectively analyzed.Another 60 patients with simple PHC admitted to our hospital during the same period were selected.Spiral CT phaseⅢenhanced scan and plain scan were performed on all subjects,the diagnostic efficacy of different diagnostic methods was compared.Spiral CT phase Ⅲ enhanced scan and plain scan of PHC with different diameters complicated with portal venous thromboembolism were compared.Result:Kappa value of PHC complicated with portal venous thromboembolism diagnosed by spiral CT phase Ⅲ enhanced scan was 0.95,which was higher than 0.45 of spiral CT phase Ⅲ plain scan.Spiral CT phase Ⅲ enhanced scan in the diagnosis of PHC complicated with portal venous thromboembolism sensitivity,specific degree,accuracy was 98.33%(59/60),96.67%(58/60),97.50%(117/120),which were higher than those of spiral CT phase Ⅲ plain scan in 73.33%(44/60),71.67%(43/60),72.50%(87/120),the differences were statistically significant(P<0.05).The detection rate of PHC complicated with portal venous thromboembolism with diameter 1-3 cm and>3 cm by spiral CT phase Ⅲ enhanced scan was higher than that of spiral CT phase Ⅲ plain scan,the differences were statistically significant(P<0.05).Conclusion:Spiral CT phase Ⅲ enhanced scan has a good effect in the diagnosis of PHC complicated with portal venous thromboembolism,which can improve the clinical diagnostic value and has a high value of clinical application.

关 键 词：原发性肝癌 门静脉癌栓 螺旋CT三期增强扫描 

分 类 号：R735.7[医药卫生—肿瘤]