MSCT多期扫描在肝细胞癌及其病理分化程度中的价值研究  

The Value of MSCT Multiphase Scanning in Hepatocellular Carcinoma and Its Correlation with Pathological Differentiation

作　　者：高建军[1] 程洪科 龚磊 陈来荣 朱勇[2] GAO Jian-jun;CHENG Hong-ke;GONG Lei;CHEN Lai-rong;ZHU Yong(Department of Radiology,Lianyungang Fourth People's Hospital,Lianyungang 222000,Jiangsu Province,China;Department of Hepatology,Lianyungang Fourth People's Hospital,Lianyungang 222000,Jiangsu Province,China)

机构地区：[1]连云港市第四人民医院放射科,江苏连云港222000 [2]连云港市第四人民医院肝病科,江苏连云港222000

出　　处：《中国CT和MRI杂志》2023年第12期95-97,共3页Chinese Journal of CT and MRI

基　　金：2021-2022年度连云港市科协软课题研究项目(Lkxqt2110)。

摘　　要：目的探讨多层螺旋计算机断层扫描(MSCT)多期扫描在肝细胞癌及其病理分化程度中的价值。方法回顾性选取2021年1月-2022年12月收治的93例肝细胞癌(HCC)患者作为HCC组和64例肝脏局灶性结节性增生(FNH)患者作为FNH组,比较两组MSCT多期扫描特点,以病理学检查结果为“金标准”,统计分析MSCT多期扫描对HCC及其病理分化的诊断价值。结果MSCT多期扫描的准确度和敏感度高于MSCT平扫,差异具有统计学意义(准确率:92.99%vs 83.44%,χ^(2)=6.893,P<0.05;敏感度:91.40%vs 80.65%,χ^(2)=4.471,P<0.05);MSCT影像学显示,HCC组和FNH组在平扫状态、动脉期状态、静脉期及延迟期表现、假包膜、出血坏死方面差异具有统计学意义(P<0.05);MSCT扫描对HCC病理分化诊断的准确度为83.87%(78/93)。结论MSCT多期扫描可提高对HCC的诊断的准确度和敏感度,且对病理分化有一定的诊断价值。Objective To explore the value of multi-slice spiral computed tomography(MSCT)multiphase scanning in hepatocellular carcinoma(HCC)and its correlation with pathological differentiation.Methods A total of 93 patients with HCC and 64 patients with focal nodular hyperplasia(FNH)were retrospectively enrolled as HCC group and FNH group between January 2021 and December 2022,respectively.Characteristics of MSCT multi-phase scan in the two groups were compared.Taking results of pathological examination as the golden standard,the diagnostic value of MSCT multi-phase scan for HCC and its pathological differentiation was statistically analyzed.Results The accuracy and sensitivity of MSCT multi-phase scan were higher than those of MSCT plain scan,the difference was statistically significant(accuracy:92.99%vs 83.44%,χ^(2)=6.893,P<0.05;sensitivity:91.40%vs 80.65%,χ^(2)=4.471,P<0.05).MSCT imaging showed that there were significant differences between HCC group and FNH group in plain scan status,arterial phase status,findings in venous phase and delayed phase,pseudocapsule and hemorrhagic necrosis(P<0.05).The accuracy of MSCT scan in the diagnosis of HCC pathological differentiation was 83.87%(78/93).Conclusion MSCT multi-phase scan can improve diagnostic accuracy and sensitivity of HCC,which also has certain diagnostic value for pathological differentiation.

关 键 词：肝细胞癌 多层螺旋计算机断层扫描 多期扫描 病理分化 

分 类 号：R575[医药卫生—消化系统] R445.3[医药卫生—内科学]