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MSCT肝包膜侵犯征象對肝癌微血管侵犯診斷價值研究

發(fā)布時間:2018-05-28 17:07

  本文選題:MSCT + 肝癌; 參考:《臨床放射學雜志》2017年06期


【摘要】:目的探討MSCT肝包膜侵犯征象對肝癌微血管侵犯(MVI)的診斷價值。方法回顧性分析初診經手術病理證實的單發(fā)肝癌132例,所有病例術前均行MSCT平掃及多期增強掃描。將MSCT肝包膜侵犯征象與手術病理結果進行對照分析。結果 MSCT肝包膜侵犯征象與病理肝包膜侵犯、肝癌MVI之間存在顯著關聯(lián)(P0.01);MSCT肝包膜侵犯征象診斷肝癌MVI的敏感度、特異度、準確率分別為83.3%(40/48)、67.9%(57/84)、73.5%(97/132)。結論 MSCT肝包膜侵犯征象可以作為評估肝癌MVI的一種依據(jù)。
[Abstract]:Objective to evaluate the diagnostic value of MSCT hepatic capsule invasion in hepatocellular carcinoma (HCC) with microvessel invasion. Methods A retrospective analysis was made on 132 cases of primary hepatic carcinoma confirmed by surgery and pathology. All cases were performed MSCT plain scan and multiphase enhanced scan before operation. The MSCT hepatic capsule invasion signs were compared with the results of operation and pathology. Results there was a significant correlation between MSCT hepatic capsule invasion and pathological hepatic capsule invasion. The sensitivity, specificity and accuracy of hepatic envelope invasion in diagnosis of liver cancer MVI were 83.340 / 48 / 67.9g / 73.5 / 97 / 132respectively. Conclusion MSCT hepatic capsule invasion can be used as a basis for evaluating liver cancer MVI.
【作者單位】: 廣西醫(yī)科大學附屬腫瘤醫(yī)院放射科;
【基金】:廣西科學研究與技術開發(fā)計劃項目(編號:桂科攻1355005-3-1) 廣西衛(wèi)生和計劃生育委員會自籌經費科研項目(編號:Z2016476) 2017年廣西研究生教育創(chuàng)新計劃項目資助(編號:YCBZ2017042)
【分類號】:R730.44;R735.7
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本文編號:1947506

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