64排螺旋CT对肝癌及肝脏局灶性结节增生诊断准确率及影像学指标在病情评估中的应用  

The Accuracy of 64-Slice Spiral CT in the Diagnosis of Liver Cancer and Liver Focal Nodule Hyperplasia and the Application of Imaging Indicators in the Evaluation of the Disease

作　　者：林宗荣 LIN Zong-rong(Department of Radiology,Anhai Hospital,Jinjiang City,Fujian Quanzhou 362261)

机构地区：[1]晋江市安海医院影像科,福建泉州362261

出　　处：《中国医疗器械信息》2024年第24期100-102,共3页China Medical Device Information

摘　　要：目的:研究肝癌及肝脏局灶性结节增生类病变患者,采用64排螺旋CT技术对病情实施诊断的临床价值。方法:选择2022年1月~2023年12月在本院就诊的肝癌及肝脏局灶性结节增生类病变疑似患者115例,首先以常规二维超声技术进行检查,随后再采用64排螺旋CT扫描仪实施检查,以治疗后病理学证实结果作为金标准。统计并计算病理学证实阳性例数。64排螺旋CT检查和常规二维超声检查诊断肝癌及肝脏局灶性结节增生类病变的阳性率、灵敏度、特异度、阴性预测值、阳性预测值、准确度、病情确诊时间、检查准备时间、操作时间。结果:病理学证实阳性110例,占比95.65%;64排螺旋CT检查诊断肝癌及肝脏局灶性结节增生类病变,阳性率、灵敏度、特异度、阴性预测值、阳性预测值、准确度均明显高于常规二维超声检查,组间差异有统计学意义(P<0.05);64排螺旋CT检查病情确诊时间、检查准备时间、操作时间均短于常规二维超声检查,组间数据差异有统计学意义(P<0.05)。结论:肝癌及肝脏局灶性结节增生类病变以64排螺旋CT技术对病情实施诊断,准确性更加理想。Objective:To study the clinical value of 64-slice spiral CT technology in diagnosing patients with liver cancer and liver focal nodular hyperplastic lesions.Methods:A total of 115 patients with suspected liver cancer and liver focal nodular hyperplasia who were admitted to our hospital from January 2022 to December 2023 were selected for examination by conventional two-dimensional ultrasound technology,and then 64-slice spiral CT scanner was used for examination,and the pathological confirmation results after treatment were used as the gold standard.The number of pathologically confirmed positive cases was counted and calculated.The positive rate,sensitivity,specificity,negative predictive value,positive predictive value,accuracy,diagnosis time,examination preparation time and operation time of 64-slice spiral CT examination and conventional two-dimensional ultrasound examination in the diagnosis of liver cancer and liver focal nodular hyperplastic lesions were performed.Results:There were 110 cases confirmed positive by pathology,accounting for 95.65%;The positive rate,sensitivity,specificity,negative predictive value,positive predictive value and accuracy of 64-slice spiral CT examination in the diagnosis of liver cancer and liver focal nodular hyperplastic lesions were significantly higher than those of conventional two-dimensional ultrasound,and the difference between groups was statistically significant(P<0.05);The time of diagnosis,preparation time and operation time of 64-slice spiral CT examination were shorter than those of conventional two-dimensional ultrasound examination,and the data difference between the groups was statistically significant(P<0.05).Conclusion:For liver cancer and liver focal nodular hyperplastic lesions,64-slice spiral CT technology is used to diagnose the disease,and the accuracy is more ideal.

关 键 词：肝癌 肝脏局灶性结节增生 64排螺旋CT 诊断 

分 类 号：R445.2[医药卫生—影像医学与核医学]