ISSN 1004-4140
CN 11-3017/P

经脾门静脉造影CT(CTSP)和超声对原发性肝癌诊断价值的对照研究

Contrast Study on Computer Tomography During Splenoportography and Ultrasound in Diagnosis Value of Primary Hepatocelluar Carcinoma

  • 摘要: 目的是应用CTSP和超声(US)检查原发性肝癌(PHC),比较其对PHC的诊断价值。材料和方法采用43例PHC行US和经脾门静脉造影CT,在门静脉期行全肝动态扫描,统计两种检查方法病灶的检出数,计算检出敏感性及定性准确性并进行统计学处理。结果得到43例PHC共显示病灶106个,US及CTSP的检出敏感性分别为:63.2%、91.5%CTSP和US比较有显著性差异(P<0.01),其定性准确性(96.9%)也明显高于US(79.1%).结论是CTSP检查可明显提高检出PHC的敏感性,是确诊早期PHC的一种重要方法。

     

    Abstract: Purpose The PHC was examined by CTSP and US. We compared its diagnosisvaslue .Materials aild Methods 43 patients with PHC were examined by US and computertomography during splenoportography(CTSP)and were carried out with dynamic scanner in portalvenous phase. The number of the detected lesions,the sensitivity and accuracy of characterizationwere statistically calculated and analysed .Results 106 lesions were seen in 43 patients withPHC,The sensitivity in US and CTSP was respectively 63.2% and 91 .5%(p<0.01).The significantdifference of the accuracy of characterizaton was also found between CTSP(96.9%)and US(79.1%).Conclusion The CTSP can improve considerably the sellsitivity of PHC and was animportant method of early diagnosis PHC.

     

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