肝动脉注射碘油在肝癌诊断中的价值  

Value of Diagnosis of Hepatic Carcinoma by Iodipin Emulsion Injected into Hepatic Artery

作　　者：张成祥 朱云杰 

机构地区：[1]江苏省盐城市第二人民医院,盐城市224002

出　　处：《河南医药信息》2002年第22期1-1,3,共2页Henan Medical Information

摘　　要：目的　为提高对AFP阴性低水平但缺乏“典型影像学表现”的肝癌 ;AFP呈低水平～阳性 ,而肿瘤组织密度似于或等于周围肝组织 ,影像学表现“呈隐形肝癌” ;以及微小肝癌 (直径≤ 2cm )的诊断率 ;肝硬化再生结节与肝癌的鉴别诊断的水平。方法　经导管肝动脉注射碘油乳剂 5～ 10ml,如术中见明显碘油沉积病灶 ,则诊断明确 ,对术中不能确诊者 ,术后 7～10d作肝脏CT扫描即可确诊。结果　 3 9例共确诊肝癌 2 4例 ,肿瘤最大直径 10 5cm ,最小 0 4cm。“隐形肝癌”9例 ,其中肝瘤最大直径 6 6cm。 5例术中见肝内门静脉Ⅱ～Ⅲ级分支显影 (肝动脉—门静脉分流 )。结论　能明显提高AFP阴性或低水平肝癌 ;“隐形肝癌”和微小肝癌的诊断率 ,对肝硬化非肿瘤性再生结节与肝癌的鉴别诊断十分容易。Objective To improve diagnosis rate of hepatic carcinoma of AFP negative or low level but lack of typical expression, 'mashed hepatic carcinoma' by imaging of AFP low level positive but density of tumor tissue is approximate equal or equal to that of peripheral hepatic tissue and micro-hepatic carcinoma (D≤2cm); and differential diagnostic standard of nodular cirrhosis of regeneration and hepatic carcinoma. Methods Iodipin emulsion 5～10ml was injected into hepatic artery through catheter. Diagnosis was clear if iodipin deposited obviously on focus. To difficult confirmed diagnosis, hepatic CT could help after 7～10 weeks.Results 24 cases were confirmed diagnosis in 39 cases, maximum diameter of tumor was 10 5cm and minimum was 0 4cm. In 9 cases of 'mashed hepatic carcinoma', maximum diameter of tumor was 6 6cm. 5 cases were imagined branching grade Ⅱ～Ⅲ of vena portae in hepar (shunt of hepatic artery and vena portae). Conclusion Improving diagnosis rate of hepatic carcinoma of AFP negative or low level, mashed hepatic carcinoma and micro-hepatic carcinoma; Confirming easily diagnosis of nodular cirrhosis of regeneration and hepatic carcinoma.

关 键 词：肝动脉注射 碘油 肝癌诊断 

分 类 号：R735.704[医药卫生—肿瘤]