| 磁共振扩散加权成像在肝癌辨证分型中的应用研究 |
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| 引用本文： | 王嵩,张世界,李琼,张建军,马国骏. 磁共振扩散加权成像在肝癌辨证分型中的应用研究[J]. 上海中医药杂志, 2010, 0(1): 11-13 |
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| 作者姓名： | 王嵩 张世界 李琼 张建军 马国骏 |
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| 作者单位： | 上海中医药大学附属龙华医院放射科; |
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| 基金项目： | 上海市科委创新项目(09YZ130) |
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| 摘 要： | 目的 探讨肝癌的磁共振扩散加权成像信号特征与中医辨证分型之间的关系。方法 对61例肝原发癌与转移癌患者根据中医四诊合参分为气阴两虚型、气滞血瘀型、肝胆湿热型，在磁共振图像上观察肿瘤结节的形态、大小，肿瘤DWI信号改变，血管受侵改变，占位征象及周围器官侵犯转移与中医证型的关系。结果 ①中医证型与磁共振观察的肿瘤形态有一定相关性（P〈0．05），气阴两虚型中结节型最多（18／26），气滞血瘀型则以巨块型为主（15／20）。②中医各证型中，在DWI图像上表现为不均匀的高信号，以气滞血瘀型为主（12／19）；在形成癌栓的病例中，气滞血瘀型最多（8／11），发生周围侵犯者也以气滞血瘀型为主（11／16），其构成比差异均有统计学意义（P〈0．05）。结论 磁共振扩散加权成像作为一种新的微观辨证手段有助于中医宏观辨证，有助于疾病的诊断和证候的确立。
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| 关 键 词： | 肝癌 中医证型 磁共振 扩散加权成像 |
Application of magnetic resonance diffusion weighted imaging in syndrome differentiation of hepatoma |
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| WANG Song ZHANG Shi-jie LI Qiong ZHANG Jian-jun MA Guo-junLonghua Hospital Affiliated to Shanghai University of Traditional Chinese Medicine. Application of magnetic resonance diffusion weighted imaging in syndrome differentiation of hepatoma[J]. Shanghai Journal of Traditional Chinese Medicine, 2010, 0(1): 11-13 |
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| Authors: | WANG Song ZHANG Shi-jie LI Qiong ZHANG Jian-jun MA Guo-junLonghua Hospital Affiliated to Shanghai University of Traditional Chinese Medicine |
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| Affiliation: | ( Longhua Hospital Affiliated to Shanghai University of Traditional Chinese Medicine) |
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| Abstract: | Objective To study the relationship between magnetic resonance diffusion weighted imaging and syndrome differentiation of hepatoma.Methods Sixty-one primary or metastatic carcinoma of liver were differentiated into qi-yin deficiency syndrome,qi-blood stagnation syndrome,and dampness heat in liver and gallbladder syndrome.In magnetic resonance imaging,the tumor shape and size,the changes of DWI signals and invaded vessels,occupying signs and involvement in surrounding organs were observed and compared betwee... |
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| Keywords: | Hepatoma TCM syndrome magnetic resonance diffusion weighted imaging |
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