研究多层螺旋CT三期动态增强扫描应用于诊断胰头癌并肝转移中的实际价值
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摘要
目的探讨多层螺旋CT三期动态增强扫描对胰头癌并肝转移的诊断价值。方法回顾性分析62例胰头癌合并肝转移患者临床资料,所有患者于病理检查前均行多层螺旋CT三期动态增强扫描,记录其多层螺旋CT三期动态增强扫描结果并与病理检查或随访结果对比。结果 62例胰头癌并肝转移患者均顺利完成多层螺旋CT三期动态增强扫描,分析可知62例患者经多层螺旋CT三期动态增强扫描阳性率与病理或随访确诊情况对比差异无统计学意义,二者分别为91.94%、100.00%。结论利用多层螺旋CT三期动态增强扫描诊断胰头癌并肝转移具有一定的临床价值,可为医生诊断此类病情提供有效依据。
Objective To evaluate the value of three-phase dynamic contrast-enhanced multi-slice spiral CT in the diagnosis of pancreatic head carcinoma with liver metastasis. Methods The clinical data of 62 patients with pancreatic head carcinoma complicated with liver metastasis were retrospectively analyzed. All patients underwent three-phase dynamic enhanced MSCT before pathological examination. The three-phase dynamic enhanced MSCT scanning was recorded and compared with pathological examination or follow-up results. Data were input into SPSS software for statistical analysis. Results Sixty-two patients with pancreatic head cancer and liver metastasis were successfully completed three-phase dynamic contrast-enhanced multi-slice spiral CT scanning. The analysis showed that the positive rate of three-phase dynamic contrast-enhanced multi-slice spiral CT scanning, pathological or follow-up diagnosis of 62 patients were compared, 91.94% and 100.00% respectively, but the difference was not statistically significant. Conclusion Multi-slice spiral CT three-phase dynamic contrast-enhanced scanning in the diagnosis of pancreatic head cancer with liver metastasis has a certain clinical value, can provide an effective basis for doctors to diagnose this kind of disease.
Objective To evaluate the value of three-phase dynamic contrast-enhanced multi-slice spiral CT in the diagnosis of pancreatic head carcinoma with liver metastasis. Methods The clinical data of 62 patients with pancreatic head carcinoma complicated with liver metastasis were retrospectively analyzed. All patients underwent three-phase dynamic enhanced MSCT before pathological examination. The three-phase dynamic enhanced MSCT scanning was recorded and compared with pathological examination or follow-up results. Data were input into SPSS software for statistical analysis. Results Sixty-two patients with pancreatic head cancer and liver metastasis were successfully completed three-phase dynamic contrast-enhanced multi-slice spiral CT scanning. The analysis showed that the positive rate of three-phase dynamic contrast-enhanced multi-slice spiral CT scanning, pathological or follow-up diagnosis of 62 patients were compared, 91.94% and 100.00% respectively, but the difference was not statistically significant. Conclusion Multi-slice spiral CT three-phase dynamic contrast-enhanced scanning in the diagnosis of pancreatic head cancer with liver metastasis has a certain clinical value, can provide an effective basis for doctors to diagnose this kind of disease.
引文
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[11]徐宇崇,刘荣华,赵志刚.原发性肝细胞性肝癌CT动态增强不典型表现分析[J].临床医药实践,2012,21(10):791-792.
[12]张丽娟.多层螺旋CT扫描与CT灌注成像在胰腺癌成像中诊断价值及差异[J].中国CT和MRI杂志,2017,15(6):83-86.
[13]冯广龙,姜慧杰,李金平,等.多层螺旋CT增强扫描在胰腺癌术前诊断中的价值[J].中华医学杂志,2017,97(11):838-842.
[14]朱健,曹治平,唐芳芳.MSCT三期增强扫描对小肝癌的临床诊断价值[J].海南医学,2017,28(2):257-259.
[15]贾明胜,杨慧,杨翠翠,等.胰腺癌原发部位与肝转移瘤分布特征的关系[J].山东医药,2017,57(9):53-55.
[2]李胜辉,丁娟,李国英,等.螺旋CT多期扫描技术在胰腺癌诊断中的价值[J].中国中西医结合影像学杂志,2008,6(4):278-279.
[3]顾晓方,邢伟,邱建国,等.多层螺旋CT对胰腺癌的术前评估[J].中国中西医结合影像学杂志,2006,4(4):252-254.
[4]Vargas R,Nino-Murcia M,Tmeblood W,et al.MDCT in Pancreatic adenocarcinoma:Prediction of vascular invasion and resectability using a muhiphasic technique with curved planar reformations[J].AJR Am JRoentgenol,2004,182(2):419.
[5]李家德.64层螺旋CT检查对胰腺癌治疗的指导价值[J].中国中西医结合影像学杂志,2007,5(4):253-255.
[6]Wicherts DA,de Haas RJ,vanKessel CS,et al.Incremental alue of arterial and equilibrium phase compared to hepatic venousphase CT in the preoperative of colorectal liver metastases:an evaluation with different reference standards[J].Eur J Radiol,2011,77(2):305-311.
[7]肖运平,梁斌,肖恩华.螺旋CT三期增强扫描对富血管结节型肝细胞癌的诊断价值[J].实用放射学杂志,2011,27(11):1673-1676.
[8]Hwang SH,Yuo JS,Mi KS,et al.Comparison of diagnostic performance between single and multiphasic contrast-enhanced abdominopelvic computed tomography in patients admitted to the emergency department with abdominal pain:potential radiation dose reduction[J].European Radiology,2015,25(4):1048-1058.
[9]Bo MC,Park HJ,Park SB,et al.Differentiation of small arterial enhancing hepatocellular carcinoma from non-tumorous arterioportal shunt with an emphasis on the precontrast CT scan[J].Abdominal Imaging,2015,40(7):2200-2209.
[10]张宇,崔光彬,张世衡,等.多层螺旋CT动态增强扫描对不同类型小肾癌的诊断价值研究[J].现代生物医学进展,2016,16(36):7197-7200.
[11]徐宇崇,刘荣华,赵志刚.原发性肝细胞性肝癌CT动态增强不典型表现分析[J].临床医药实践,2012,21(10):791-792.
[12]张丽娟.多层螺旋CT扫描与CT灌注成像在胰腺癌成像中诊断价值及差异[J].中国CT和MRI杂志,2017,15(6):83-86.
[13]冯广龙,姜慧杰,李金平,等.多层螺旋CT增强扫描在胰腺癌术前诊断中的价值[J].中华医学杂志,2017,97(11):838-842.
[14]朱健,曹治平,唐芳芳.MSCT三期增强扫描对小肝癌的临床诊断价值[J].海南医学,2017,28(2):257-259.
[15]贾明胜,杨慧,杨翠翠,等.胰腺癌原发部位与肝转移瘤分布特征的关系[J].山东医药,2017,57(9):53-55.