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作 者:刘宜 张晓辉[1] 卢文献[1] 孙晓晴 刘杰[1] 黄幼玲[1] 齐庆安[1] 马小贝 LIU Yi;ZHANG Xiao-hui;LU Wen-xian;SUN Xiao-qing;LIU Jie;HUANG You-ling;QI Qing-an;MA Xiao-bei(Department of General Surgery,the Hospital of the People's Liberation Army's 83rd Group,Xinxiang 453000,Henan Province,China;Department of Imaging,the Hospital of the People's Liberation Army's 83rd Group,Xinxiang 453000,Henan Province,China)
机构地区:[1]中国人民解放军陆军第83集团军医院普通外科,河南新乡453000 [2]中国人民解放军陆军第83集团军医院影像科,河南新乡453000
出 处:《中国CT和MRI杂志》2022年第2期93-95,共3页Chinese Journal of CT and MRI
摘 要:目的探讨多层螺旋电子计算机断层扫描(MSCT)和磁共振成像扫描(MRI)对原发性肝癌(PLC)定性诊断及治疗方案指导的价值。方法纳入2017年1月至2019年12月间收治的94例拟诊PLC患者作为研究对象,对患者进行MSCT、MRI检查。评估不同影像学方法诊断PLC的效能,评估不同影像学方法对不同大小肿瘤PLC的诊断效能,比较MSCT和MRI检出门静脉癌栓及肝内动静脉瘘的检出率。结果(1)MRI诊断PLC的准确率、灵敏性均高于MSCT(P<0.05),MRI、MSCT诊断PLC的特异度对比差异无统计学意义(P>0.05);(2)MSCT、MRI在<3cm、≥3cmPLC病灶检出率中对比,差异均无统计学意义(P>0.05);(3)MSCT、MRI检出PLC患者门静脉癌栓、肝内动静脉瘘准确率对比,差异均无统计学意义(P>0.05)。结论MRI诊断PLC总体效能优于MSCT,两方法均有利于指导PLC治疗方案的制定。Objective To explore the value of multi-slice spiral computed tomography(MSCT)and magnetic resonance imaging(MRI)in the qualitative diagnosis and treatment regimen guidance of primary liver cancer(PLC).Methods A total of 94 patients with possible PLC treated between January 2017 and December 2019 were included as the research subjects,and MSCT and MRI were performed on the patients.The efficacies of different imaging methods for diagnosing PLC were evaluated,and the diagnostic efficacies of different imaging methods for PLC of different size tumors were assessed,and the detection rates of portal vein tumor thrombus and intrahepatic arteriovenous fistula by MSCT and MRI were compared.Results(1)The accuracy rate and sensitivity of MRI diagnosis of PLC were higher than those of MSCT(P<0.05).There was no statistically significant difference in the specificity of MRI or MSCT diagnosis of PLC(P>0.05).(2)There were no statistically significant differences in the detection rates of<3cm PLC lesions and≥3cm PLC lesions by MSCT or MRI(P>0.05).(3)There were no statistically significant differences in the accuracy rates of portal vein tumor thrombus and intrahepatic arteriovenous fistula detected by MSCT or MRI in PLC patients(P>0.05).Conclusion The overall efficacy of MRI in diagnosing PLC is superior to MSCT.Both methods are conducive to guiding the development of PLC treatment regimen.
关 键 词:原发性肝癌 多层螺旋电子计算机断层扫描 磁共振成像扫描 门静脉癌栓
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