小肝癌的病理与螺旋CT诊断进展
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摘要
小肝癌(SHCC)起病较隐匿,早期症状不明显,发病率及死亡率高,早期诊断和治疗是提高生存率的重要手段。然而,SHCC病理演变过程复杂,影像表现不一,造成早期诊断困难。螺旋CT多期动态扫描不但可以检测病灶大小,还可以显示SHCC的血供特点。因此,螺旋CT多期动态扫描已成为日前检测和诊断SHCC的重要检查方法。
Small hepatocellular carcinoma(SHCC)has a relatively insidious onset, insignificant early symptoms,high morbidity and mortality. Early diagnosis and treatment is an important means to improve survival rate. However, the pathological evolution of SHCC is complex and the imaging performance is different, which makes it difficult to diagnose early.Spiral CT multi-phase dynamic scanning can not only detect the size of lesions, but also show the blood supply characteristics of SHCC. Therefore, spiral CT multi-phase dynamic scanning has become an important examination method for the detection and diagnosis of SHCC.
Small hepatocellular carcinoma(SHCC)has a relatively insidious onset, insignificant early symptoms,high morbidity and mortality. Early diagnosis and treatment is an important means to improve survival rate. However, the pathological evolution of SHCC is complex and the imaging performance is different, which makes it difficult to diagnose early.Spiral CT multi-phase dynamic scanning can not only detect the size of lesions, but also show the blood supply characteristics of SHCC. Therefore, spiral CT multi-phase dynamic scanning has become an important examination method for the detection and diagnosis of SHCC.
引文
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[3]王聪.多层螺旋CT薄层增强3期扫描在肝癌诊断中的应用价值[J].医疗装备,2018,31(05):10-11.
[4]Melloni,Giulio,Muriana,Piergiorgio,Bandiera,Alessandro,et al.Prognostic role of liver Xreceptor-alpha in resected stage II and III nonsmall-cell lung cancer[J].The clinical respiratory journal.,2018,12(1):241-246.
[5]李先明,周建辉,白阿明,罗海波,余钟建.16排螺旋CT在肝癌诊断中的临床应用效果观察[J].中国现代药物应用,2018,12(11):26-28.
[6]Libin Zhang,Liang Bu,Jiang Hu,et al.HDAC1knockdown inhibits invasion and induces apoptosis in non-small cell lung cancer cells[J].Biological Chemistry,2018,399(6):603-610.
[7]Hanafy Nemany Abdelhamid Neman,Quarta Alessandra,De Giorgi Maria Luisa,et al.Polymeric Nano-Micelles as Novel Cargo-Carriers for LY2157299 Liver Cancer Cells Delivery[J].2018,19(3):122-125.
[8]朱宏刚.MRI与MSCT在乙型肝炎肝硬化继发肝癌患者诊断中的比较分析[J].现代医用影像学,2018,27(03):806-808.
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[10]周继海,李军山.普美显磁共振增强成像在鉴别肝硬化结节与小肝癌的临床应用探讨[J].影像研究与医学应用,2018,2(09):68-69.
[11]张厚强.动态增强CT扫描小肝癌的影像学特点及定性诊断价值[J].中外医学研究,2019,17(07):72-73.
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[13]何碧文,周瑞方,杨涛.螺旋CT增强扫描在小肝癌诊断中的应用价值[J].中国医药指南,2018,16(11):225-226.
[14]艾宁.高尔基体糖蛋白73在原发性肝癌中的表达及对肝癌锥形束CT介入治疗的指导价值[D].河北医科大学,2018.
[15]杨晶,李沁怡,姚艳,吴锦平,潘颖杰.16排螺旋CT多期增强扫描对小肝癌的诊断价值分析[J].影像研究与医学应用,2018,2(17):118-119.
[16]王新伟,张娜.螺旋CT诊断伴肝硬化小肝癌的观察[J].影像研究与医学应用,2018,2(14):193-194.
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[20]林锦仕,李锋,付志明,杨柳青,林晓锐.多排螺旋CT与MRI对乙型肝炎肝硬化背景小肝癌检出的比较研究[J].中西医结合肝病杂志,2018,28(04):248-250.
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[22]许艳,单鹏,周宁.加巴喷丁、氨酚羟考酮联合马来酸氟吡汀在缓解老年带状疱疹患者后遗神经疼痛中的作用[J].中国老年学杂志,2018,38(23):5766-5768.
[23]王军委,成新玲,高剑波,董志辉,曾卫,高鹏,莫哲恒.64排螺旋CT四期增强扫描在小肝癌诊断中的应用[J].实用医学影像杂志,2018,19(01):46-49.
[24]区贤斌.多层螺旋CT双期增强扫描和CT平扫在肝微小细胞癌诊断中的价值对比[J].现代诊断与治疗,2017,28(18):3344-3346.
[25]黄伟康,谭理连,唐西平,等.螺旋CT动脉三期扫描联合CTA技术在小肝癌诊断的应用研究[J].医学影像学杂志,2015(5):829-832.
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