经动脉门脉造影CT对小肝癌检出敏感性的研究

被引:3
作者
曾蒙苏 [1 ]
周康荣 [1 ]
机构
[1] 上海医科大学附属中山医院放射科
关键词
肝肿瘤; 血管造影术; 断层摄影术; X线计算机;
D O I
暂无
中图分类号
R735.7 [肝肿瘤];
学科分类号
100214 ;
摘要
近年来,经动脉门脉造影CT(CTAP)仅有少数国外学者进行了原发或继发性肝癌的诊断研究。我们共进行15例小肝细胞癌的CTAP检查,其目的为了解CTAP法在发现小肝细胞癌(病灶直径≤3.0cm)的敏感性如何,并且同其他影像诊断技术进行比较。结果显示:15例小肝细胞癌病人经手术病理证实共发现21个病灶(直径均≤3.0cm),CTAP对肿瘤直径≤3.0cm和≤1.0cm的敏感性分别为90.5%(19/21)和75%(6/8),明显高于其他影像诊断技术。笔者认为:CTAP发现小肝细胞癌(尤其直径≤1.0cm)的敏感性是目前所有影像诊断技术中最高的,怀疑肝内有恶性占位病灶者,可合理选择使用。
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