8排螺旋CT在原发性肝癌诊断中的应用价值

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。

The effect of 8-slice spiral CT in the diagnosis of hepatocellular carcinoma

Objective To study the effect of 8-slice spiral CT in the diagnosis of hepatocellular carcinoma.It could provide a better way to diagnosis the hepatocellular carcinoma.Methods 96 patients with hepatocellular carcinoma from October 2010 to June 2014 in our hospital were to be studied.All patients underwent eight-slice spiral CT check while selecting 90 cases of primary liver cancer patients from October 2010 to September 2012 routine CT to check the display rate of lesions were observed,each lesion positive diagnosis rate.Results 96 patients after 8-slice spiral CT examination revealed 94 cases of primary liver cancer,one case and one case of hemangioma liver abscess,8-slice spiral CT positive diagnosis was97.9%;observation group CT arterial,venous phase of the lesion and real show rates were 98.5%,91.6%,97.3%;while the control group was 72.7% unenhanced display,each of the observation group displayed higher rates,the differences were statistically significant,P 〈 0.05;Massive observation group,26 cases,accounting for 100.0%;nodules in 44 cases,accounting for 93.6%,diffuse in 19 cases,accounting for 82.6%;CT examination in the control group had 28 cases of massive type,accounting for100.0%,knot section 26 cases,accounting for 57.8%,diffuse 8 cases,accounting for 29.6%.Conclusions 8 multi-slice spiral CT scans of diagnostic imaging can provide more information for the diagnosis of liver cancer,liver cancer,especially in the early days,nodular and diffuse liver cancer,and worthy of clinical application.