多层螺旋CT对肝癌合并肝动静脉瘘的诊断价值  

Value of Multi-Slice Spiral CT in the Diagnosis of Liver Carcinoma with Hepatic Arteriovenous Fistula

作　　者：徐宏伟[1] 晁明[1] 徐风峰[1] 刘奕青[1] 顾卫根[1] 詹灵[1] 赵嵩[1] 

机构地区：[1]浙江大学医学院附属第二医院放射科,浙江杭州310009

出　　处：《中国医学影像技术》2003年第4期432-434,共3页Chinese Journal of Medical Imaging Technology

摘　　要：目的　探讨多层螺旋CT对肝癌合并肝动静脉瘘的诊断价值。方法　回顾性分析 1年中接受多层螺旋CT检查的 40 5例肝癌病人的CT资料和同时接受介入治疗的 64例病人的DSA资料 ,并进行对照。结果　共发现 41例肝癌合并肝动静脉瘘 ,分为 :肝动脉门静脉瘘 3 6例 (87.8% ) ,肝动脉肝静脉瘘 2例 (4 .9% ) ,混合型肝动静脉瘘 3例 (7.3 % )。 13例肝动静脉瘘得到DSA证实 ,特异性为 10 0 %。结论　多层螺旋CT诊断肝癌合并肝动静脉瘘具有相当的优越性。Objective To evaluate the value of multi slice spiral CT in the diagnosis of liver carcinoma with hepatic arteriovenous fistula (AVF). Methods In a period of 1 year,405 patients with liver carcinoma were received multi slice spiral CT examination,among them 64 cases were also received interventional therapy.The CT and DSA images were analyzed and compared with each other retrospectively. Results Forty one cases of liver carcinoma with hepatic AVF were found.They could be divided into 36 cases of hepatic arterioportal fistula (HAPF)(87.8%),2 hepatic artery hepatic vein fistula (HAHVF)(4.9%)and 3 HAPF coexisting with HAHVF(7.3%).Thirteen cases of them were verified by DSA,specificity was 100%. Conclusion Multi slice spiral CT has obvious advantages on the diagnosis of liver carcinoma with hepatic AVF.

关 键 词：多层螺旋CT 肝癌 合并症 肝动静脉瘘 诊断 数字减影血管造影术 

分 类 号：R735.7[医药卫生—肿瘤] R816.5[医药卫生—临床医学]