本文对64例原发性肝细胞癌(HCC)的CT扫描与血管造影影像进行回顾性分析。认为,(1)低密度占位灶内出现结节影是HCC CT扫描特征性征象,肝动脉变形、移位、包绕及大量新生血管形成为HCC血管造影特征性表现;(2)肝硬变是HCC的重要间接征象;(3)门脉瘤栓及动一静脉控的形成对判定肝癌的发展和制定治疗计划有重要指导意义;(4)CT扫描结合血管造影可为HCC的诊断与鉴别诊断提供重要依据。 In this paper, 64 cases of primary hepatocellular carcinoma (HCC) CT scan and angiography images were retrospectively analyzed. It is considered that (1) nodule appearance in low-density space-occupying lesions is a characteristic feature of HCC CT scan, and hepatic artery deformation, displacement, wrapping and a large number of neovascularization are characteristic manifestations of HCC angiography; (2) Variations are important indirect signs of HCC; (3) The formation of portal vein tumor thrombus and arterio-venous control have important guiding significance in judging the development of HCC and making the treatment plan; (4) CT scan combined with angiography can be used to diagnose HCC Differential diagnosis provides an important basis.