本文關(guān)鍵詞： 螺旋CT增強(qiáng)掃描 Dnya-CT 原發(fā)性肝癌小病灶　出處：《吉林大學(xué)》2013年碩士論文　論文類型：學(xué)位論文

【摘要】：肝癌作為世界上最常見(jiàn)的惡性腫瘤之一，通常被發(fā)現(xiàn)的時(shí)候已是晚期，其中原發(fā)性肝癌小病灶更為特殊，因其體積小、血液供應(yīng)情況不良、患者癥狀不明顯等因素而在肝癌中更難被常規(guī)檢查所發(fā)現(xiàn);其中CT是常規(guī)的掃描方法，尤其是螺旋CT增強(qiáng)掃描，能很大程度上彌補(bǔ)了常規(guī)CT掃描檢查的不足。Dyna-CT可提高對(duì)肝癌小病灶的檢出率，并能更清晰的提供肝腫瘤供血血管的解剖信息，對(duì)原發(fā)性肝癌小病灶及微小病灶的診斷和治療提供了更可靠的信息。本文將2011年6月至2012年6月吉林大學(xué)第一醫(yī)院介入治療科收入院，行TACE（TranshepaticArterial ChemotherapyAnd Embolization肝動(dòng)脈化療栓塞術(shù)）術(shù)且術(shù)中接受Dyna-CT檢查的患者為研究對(duì)象，，入選患者按照病灶大小分為三組：A組病灶直徑≤1.0cm，B組病灶直徑1.1-2.0cm，C組病灶直徑2.1-3.0cm。均常規(guī)行螺旋CT三期增強(qiáng)掃描，并行TACE術(shù)，并在介入治療手術(shù)中行Dyna-CT掃描，比較患者行螺旋CT增強(qiáng)掃描及Dyna-CT掃描檢出肝癌結(jié)節(jié)的數(shù)目，并進(jìn)行統(tǒng)計(jì)學(xué)分析，探討Dyna-CT在原發(fā)性肝癌臨床診斷中的應(yīng)用價(jià)值及其對(duì)TACE術(shù)的指導(dǎo)價(jià)值。
[Abstract]:As one of the most common malignant tumors in the world, liver cancer is usually found at the late stage, in which the small focus of primary liver cancer is more special, because of its small size and poor blood supply. The symptoms of the patients were not obvious and it was more difficult to find them in liver cancer by routine examination. Ct is a conventional scanning method, especially spiral CT enhanced scan, which can make up for the deficiency of conventional CT scanning. Dyna-CT can improve the detection rate of small focus of liver cancer. And can provide more clearly the anatomical information of blood supply vessel of liver tumor. It provides more reliable information for the diagnosis and treatment of small focus and small focus of primary liver cancer. From June 2011 to June 2012, the department of interventional therapy in the first Hospital of Jilin University was admitted to the hospital. TACE(TranshepaticArterial ChemotherapyAnd Embolization hepatic artery chemoembolization. Patients who underwent Dyna-CT during operation were studied. The patients were divided into three groups according to the size of the lesions. The diameter of lesions in group A was less than 1.0 cm. The diameter of lesions in group B was 1.1-2.0 cm. The lesion diameters of group C were 2.1-3.0 cm. All patients were performed spiral CT three-phase enhanced scan, followed by TACE, and Dyna-CT scan was performed during interventional therapy. The number of HCC nodules detected by spiral CT enhanced scan and Dyna-CT scan were compared and statistically analyzed. To explore the value of Dyna-CT in the clinical diagnosis of primary liver cancer and its guiding value in TACE operation.
【學(xué)位授予單位】：吉林大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2013
【分類號(hào)】：R816.5;R735.7

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相關(guān)期刊論文 前10條

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本文編號(hào)：1453901