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目的探讨8排螺旋CT在原发性肝癌诊断中的应用价值。方法选取本院2012年10月至2014年6月间收治的96例原发性肝癌患者为研究对象,所有患者均进行8排螺旋CT检查,同时选取2010年10月至2012年9月间收治的90例原发性肝癌患者作为对照组,进行常规的CT进行检查。观察两组患者病灶显示率、各病灶阳性诊断率。结果观察组患者经8排螺旋CT检查发现94例原发性肝癌、1例血管瘤和1例肝脓肿,8排螺旋CT阳性诊断率为97.9%。观察组患者CT动脉期、静脉期和实质期病灶的显示率分别为98.5%、91.6%和97.3%,而对照组患者平扫显示率为72.7%,观察组患者各期显示率均高于对照组,差异均有统计学意义(均P<0.05);观察组患者中,巨块型诊断正确率为100.0%,结节型为93.6%,弥漫型为82.6%;对照组患者中,巨块型诊断正确率为100.0%,结节型为57.8%;弥漫型为29.6%。结论 8排螺旋CT进行多期扫描可为肝癌诊断提供更多的影像诊断信息,尤其在肝癌早期,结节型和弥漫型肝癌中,值得临床推广应用。
Objective To investigate the value of 8-slice spiral CT in the diagnosis of primary liver cancer. Methods A total of 96 patients with primary liver cancer who were treated in our hospital from October 2012 to June 2014 were enrolled in this study. All patients underwent 8-slice spiral CT and were selected from October 2010 to September 2012 Of 90 patients with primary liver cancer as a control group, routine CT examination. Observed the two groups of patients showed lesions, the positive rate of each lesion. Results In the observation group, 94 cases of primary liver cancer, 1 case of hemangiomas and 1 case of liver abscess were detected by 8-slice spiral CT. The positive rate of 8-slice spiral CT was 97.9%. In the observation group, the rates of CT arterial phase, venous phase and parenchymal lesion were 98.5%, 91.6% and 97.3%, respectively, while those in the control group were 72.7%, and those in the observation group were higher than those in the control group Group, the difference was statistically significant (all P <0.05); the observation group of patients, the diagnosis of bulky type was 100.0%, nodular 93.6%, diffuse 82.6%; control group of patients, The diagnostic accuracy was 100.0%, nodular 57.8% and diffuse 29.6%. Conclusion The multislice scan of 8-slice spiral CT can provide more diagnostic information for the diagnosis of HCC, especially in the early, nodular and diffuse type of HCC, which is worthy of clinical application.