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ID:27680631
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页数:6页
时间:2018-12-03
《msct血管造影评估原发性肝癌患者肝内外动静脉的应用价值》由会员上传分享,免费在线阅读,更多相关内容在学术论文-天天文库。
1、MSCT血古験脚橋患者肝邮卜義棚应用備2018-03-2110:12:00中国现代医生2018年2期褚云郑银元金赞辉[摘要]目的探讨应用多层螺旋CT(multi-slicespiralCT,MSCT)血管造影评估原发性肝癌患者肝内外动静脉的价值。方法选取2010年5月〜2016年8月间84例经病理或临床证实的原发性肝癌的患者进行冋顾性分析,其屮行-:维增强磁共振血管成像(magneticresonanceangiography,MRA)检S的患者53例,MSCT血管造影检查患者71例,71例患者后期均采取鉍大密度投影(maxi
2、mumintensityprojection,MIP)及容积再现技术(volumerepresentationtechnology,VRT),全部患者均行数字减影血管造影(digitalsubtractionangiography,DSA)检査。比较三种方法对原发性肝癌肝内外动脉、门静脉显示达到A级的差异,比较三种方法门静脉癌栓、动静脉瘘及供血动脉显示例数情况。结果腹外动脉、门静脉主干、一级肝动脉及一级门静脉,三种检查方法均可清晰显示,差异无统计学意义(P>0.05),二、三级肝内动脉、门静脉达到A级,MRA、VRT低于MIP
3、、DSA,差异有统计学意义(P<0.05),MIP与DSA比较无统计学差异(P>0.05):门静脉癌栓、动静脉瘘及供血动脉检出例数比较,MRA、VRT低于MIP、DSA,差异有统计学意义(P<0.05),MIP与DSA比较无统计学差异(P>0.05).结论MSCT血管造影诊断具有敏感性高的优势,是一项行之有效的诊断方法。[关键词]三维增强磁共振血管成像;多排螺旋CT血管造影;数字减影血管造影[中图分类号]R445.2[文献标识码]B[文章编号]1673-9701(2018)02-0103-04[Abstract]Objecti
4、veToinvestigatethevalueofmulti-slicespiralCT(MSCT)angiographyintheevaluationofintrahepaticandextrahepaticveinsandarteriesinthepatientswithprimarylivercancer.MethodsAtotalof84patientswithprimarylivercancerconfirmedpathologicallyorclinicallyfromMay2010toAugust2016were
5、selectedandretrospectivelyanalyzed.Amongthem,53patientsweregiventhree-dimensionalenhancedmagneticresonanceangiography(MRA),71patientsweregivenMSCTangiographyand71patientsweregivenmaximumintensityprojection(MIP)andvolumerepresentationtechnology(VRT).Allpatientsweregi
6、vendigitalsubtractionangiography(DSA)examination.ThedifferenceoflevelAmanifestationsofintrahepaticandextrahepaticveinsandarteriesandportalveinswascomparedbetweenthethreemethods,andthenumberofcasesofportalveintumorthrombus,arteriovenousfistulaandbloodsupplywerecompar
7、edbetweenthethreemethods.ResultsExternalabdominalartery,portalveintrunk,primaryhepaticarteryandprimaryportalveincouldallbeclearlyshownbythethreekindsofexaminationmethods,andthedifferencewasnotstatisticallysignificant(P>0.05).Thesecondaryandtertiaryintrahepaticartery
8、andprimaryportalveinreachedtolevelA,andMRAandVRTwerelowerthanMIPandDSA,thedifferenceswerestatisticallysignificant(P<0.05),andthedifference
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