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肝癌术后复发的临床及血管造影诊断

The Clinical and Angiographical Diagnosis of Recurrent Postoperative Hepatic carcinoma

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【作者】 张伟章林浩皋谢传淼李蓓伍尧泮

【Author】 Zhang Weizhang,et al. The Department of Radiology Tumor Hospital of Sun Yat-sen University of Medical Sciences, Guangzhou 510060

【机构】 中山医科大学肿瘤医院放射科中山医科大学肿瘤医院放射科 510060510060

【摘要】 本文收集了58例肝癌术后血管造影,50例正确诊断为肝癌术后复发,5例误诊为复发,3例阴性。本文阐述了肝癌术后复发的各种血管造影表现,讨论了肝癌术后复发的诊断和鉴别诊断,部分病例与CT、B超作对照。对3cm以下病灶及斑片状肿瘤浸润病灶的发现,血管造影较CT、B超为优越,本文还通过注入碘油平片检查与血管造影表现作对照,显示碘油平片检查对肝癌术后复发诊断和鉴别诊断有较大帮助。

【Abstract】 The angiography of postoperative hepatic carcinoma were analyzed in 58 cases in this paper, 50 cases diagnosed as recurrent postoperative hepatic carcinoma were correct, 5 cases were misdiagnosed and 3 cases were negative. The angiographical findings in recurrent postoperative hepatic carcinoma were described. The diagnosis and differential diagnosis of the recurrent postoperative hepatic carcinoma were discussed. Some of the cases were compared with CT and B—mode ultrasonic findings. It is suggested that the angiography is superior to CT and B—mode ultrasonic examination in those of less than 3cm diameter and patchy infiltrating lessions. By comparing the plain films after injecting iodized oil with the angiographical findings, it indicated that plain film is helpful to the diagnosis and differential diagnosis of the recurrent postoperative hepatic carcinoma.

  • 【文献出处】 影像诊断与介入放射学 ,Journal of Dimaging & Interventional Radiology , 编辑部邮箱 ,1993年04期
  • 【被引频次】2
  • 【下载频次】27
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