MSCT血管成像在原发性肝癌介入诊疗中的价值  

Value of MSCT Angiography in the Interventional Diagnosis and Treatment of Primary Liver Cancer

作　　者：周西 王忠 范丹丹 温凌字 杨伟 ZHOU Xi;WANG Zhong;FAN Dan-dan;WEN Ling-zi;YANG Wei(Department of Radiology,Mianyang Central Hospital,School of Medicine,University of Electronic Science and Technology of China,Mianyang 621000,Sichuan Province,China)

机构地区：[1]电子科技大学医学院附属绵阳医院(绵阳市中心医院)放射科,四川绵阳621000

出　　处：《中国CT和MRI杂志》2022年第4期90-92,共3页Chinese Journal of CT and MRI

摘　　要：目的研究多排螺旋CT(MSCT)血管成像在原发性肝癌介入诊疗中的价值。方法选取2018年4月至2021年5月于本院收治的80例原发性肝癌患者,均行MSCT和数字减影血管造影(DSA)检查,比较两种检测方式对肝动脉分支、肝脏血管及门静脉系统的显示情况。结果肝动脉4级分支显示情况DSA优于MSCT,肝动脉3级、4级分支显示情况MIP优于VR(P<0.05),显示肝脏供血动脉和肿瘤血管方面,MSCT与DSA比较,差异无统计学意义(P>0.05),显示门静脉癌栓和门静脉分支方面,MSCT与DSA比较,差异无统计学意义(P>0.05)。结论MSCT血管成像能清晰显示原发性肝癌患者肝动脉分支、血管灌注及门静脉癌栓情况,相比DSA有创检测,具有无创、重复性的优点,可为患者行介入治疗提供较好的指导意见。Objective To study the value of multi-slice spiral CT(MSCT)angiography in the interventional diagnosis and treatment of primary liver cancer.Methods A total of 80 patients with primary liver cancer admitted to the hospital were enrolled between April 2018 and May 2021.All underwent MSCT and digital subtraction angiography(DSA).The display situations of hepatic artery branches,hepatic vessels and portal venous system by the two method were compared.Results The display of grade-4 hepatic artery branches by DSA was better than that by MSCT,and display of grade-3 and grade-4 hepatic artery branches by MIP was better than that by VR(P<0.05).The difference between MSCT and DSA was not statistically significant in terms of the display of hepatic feeding arteries and tumor vessels(P>0.05),and the difference was not statistically significant in terms of the display of portal vein tumor thrombus and portal vein branches(P>0.05).Conclusion MSCT angiography can clearly display hepatic artery branches,vascular perfusion and portal vein tumor thrombus in patients with primary liver cancer.Compared with DSA of invasive detection,it has non-invasive and reproducible advantages,and can provide better guiding opinions for interventional therapy in patient.

关 键 词：多排螺旋CT 血管成像 原发性肝癌 介入诊疗 

分 类 号：R735.7[医药卫生—肿瘤] R445.3[医药卫生—临床医学]