| 多普勒超声与肝动脉DSA联合碘油CT检查诊断微小肝癌及肝良性结节 |
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| 引用本文： | 苏赞瑞,黄运福,林建军,龙瑜,陈璇,林祖华,李凤.多普勒超声与肝动脉DSA联合碘油CT检查诊断微小肝癌及肝良性结节[J].中国介入影像与治疗学,2016,13(10):619-622. |
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| 作者姓名： | 苏赞瑞 黄运福 林建军 龙瑜 陈璇 林祖华 李凤 |
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| 作者单位： | 广西医科大学第十附属医院 钦州市第一人民医院介入科, 广西 钦州 535000,广西医科大学第十附属医院 钦州市第一人民医院介入科, 广西 钦州 535000,广西医科大学第十附属医院 钦州市第一人民医院介入科, 广西 钦州 535000,广西医科大学第十附属医院 钦州市第一人民医院介入科, 广西 钦州 535000,广西医科大学第十附属医院 钦州市第一人民医院介入科, 广西 钦州 535000,广西医科大学第十附属医院 钦州市第一人民医院介入科, 广西 钦州 535000,广西医科大学第十附属医院 钦州市第一人民医院介入科, 广西 钦州 535000 |
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| 基金项目： | 广西壮族自治区钦州市科学研究与技术开发计划项目（20144004）。 |
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| 摘 要： | 目的探讨多普勒超声与肝动脉DSA联合碘油CT检查对微小肝癌及肝良性结节的诊断价值。方法回顾性分析100例因临床高度怀疑原发性微小肝癌或肝癌术后复发性微小肝癌而接受多普勒超声及肝动脉DSA联合碘油CT检查的肝硬化患者影像资料,并与病理结果相对照。结果最终经病理诊断为微小肝癌80例共104个病灶,肝良性结节20例共27个病灶。多普勒超声检出微小肝癌病灶90个,检出率86.54%(90/104);检出肝良性结节20个(均为肝硬化结节),检出率74.07%(20/27)。肝动脉DSA联合碘油CT检出微小肝癌病灶96个,检出率92.31%(96/104);检出肝良性病灶6个(其中无肝硬化结节),检出率22.22%(6/27)。与肝动脉DSA联合碘油CT检查相比,多普勒超声对微小肝癌的检出率较低(χ~2=9.58,P0.05),而对肝良性结节的检出率较高(χ~2=10.96,P0.05)。结论多普勒超声对肝硬化良性结节的检出更具优势,而DSA更有利于检出微小肝癌病灶。
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| 关 键 词： | 超声检查 多普勒 血管造影术 数字减影 体层摄影术 X线计算机 肝硬化 癌 肝细胞 结节 血管瘤 |
| 收稿时间： | 2016/2/22 0:00:00 |
| 修稿时间： | 2016/3/23 0:00:00 |
Doppler ultrasonography and hepatic artery DSA combined with lipiodol CT in diagnosis of small hepatocellular carcinoma and benign nodule in cirrhosis patient |
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| SU Zanrui,HUANG Yunfu,LIN Jianjun,LONG Yu,CHEN Xuan,LIN Zuhua and LI Feng.Doppler ultrasonography and hepatic artery DSA combined with lipiodol CT in diagnosis of small hepatocellular carcinoma and benign nodule in cirrhosis patient[J].Chinese Journal of Interventional Imaging and Therapy,2016,13(10):619-622. |
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| Authors: | SU Zanrui HUANG Yunfu LIN Jianjun LONG Yu CHEN Xuan LIN Zuhua and LI Feng |
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| Institution: | Department of Interventional Radiology, The tenth Affiliated Hospital of Guangxi Medical University, the First Pepole''s Hospital of Qinzhou, Qinzhou 535000, China,Department of Interventional Radiology, The tenth Affiliated Hospital of Guangxi Medical University, the First Pepole''s Hospital of Qinzhou, Qinzhou 535000, China,Department of Interventional Radiology, The tenth Affiliated Hospital of Guangxi Medical University, the First Pepole''s Hospital of Qinzhou, Qinzhou 535000, China,Department of Interventional Radiology, The tenth Affiliated Hospital of Guangxi Medical University, the First Pepole''s Hospital of Qinzhou, Qinzhou 535000, China,Department of Interventional Radiology, The tenth Affiliated Hospital of Guangxi Medical University, the First Pepole''s Hospital of Qinzhou, Qinzhou 535000, China,Department of Interventional Radiology, The tenth Affiliated Hospital of Guangxi Medical University, the First Pepole''s Hospital of Qinzhou, Qinzhou 535000, China and Department of Interventional Radiology, The tenth Affiliated Hospital of Guangxi Medical University, the First Pepole''s Hospital of Qinzhou, Qinzhou 535000, China |
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| Abstract: | |
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| Keywords: | Ultrasonography Doppler Angiography digital subtraction Tomography X-ray computed Liver cirrhosis Carcinoma hepatocellular Nodules Hemangioma |
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