【摘要】 目的探究肝癌微血管浸润术前多层螺旋CT(MSCT)评估的临床研究。方法选取2016年4月至2017年8月我院收治的118例肝癌患者作为研究对象,根据病理结果检查分为微血管侵犯组和无微血管侵犯组。观察两组患者性别、年龄、肝炎类型、肝功能分级、甲胎蛋白(AFP)值、Edmondson Steiner分级、肿瘤大小、肿瘤边缘情况、肿瘤包膜情况、动脉期CT值、门静脉期CT值、延迟期CT值、晕征。结果根据病例结果分为微血管侵犯组58例,无微血管侵犯组60例;两组患者年龄、性别、肝炎类型、肝功能分级、AFP值、动脉期及延迟期CT值比较,差异无统计学意义(P>0.05);微血管侵犯组Edmondson Steiner分级、肿瘤大小、肿瘤边缘不光滑、肿瘤无包膜、门静脉期CT值、晕征与无微血管侵犯组比较,差异具有统计学意义(P<0.05)。结论肝癌微血管浸润术前行MSCT检查能够预测肝癌微血管侵犯。更多还原

【Abstract】 Objective To investigate the clinical study of multi-slice spiral CT(MSCT) evaluation before liver cancer microvascular infiltration. Methods A total of 118 patients with liver cancer admitted in our hospital between April 2016 and August 2017 were divided into microvascular invasion group and non-microvascular invasion group according to the pathological results. The gender, age, hepatitis type, liver function classification, alpha fetoprotein(AFP), Edmondson Steiner classification, tumor size, tumor margin, tumor envelope, arterial-phase CT value, portal vein CT value, delayed CT value, halo sign were observed. Results According to the case results, 58 cases were in microvascular invasion group and 60 cases were in non-microvascular invasion group. There were no significant differences in age, gender, hepatitis type, liver function classification, AFP value, arterial phase and delayed CT value between the two groups(P>0.05).There were statistical significances in Edmondson Steiner classification, tumor size, rough tumor margin, no tumor envelope, portal vein CT value, halo sign between microvascular invasion group and non-microvascular invasion group(P<0.05). Conclusion MSCT examination before liver cancer microvascular infiltration can predict microvascular invasion of liver cancer.更多还原