肝细胞癌自发性破裂出血CT诊断及病理基础

Research into the spontaneous rupture of hepatocellular Carcinoma

目的 分析原发性肝细胞癌（ＨＣＣ）自发性破裂出血的病理基础及ＣＴ特点。材料与方法 对１３例ＨＣＣ自发性破裂出血的临床表现，病理基础及ＣＴ特点进行分析。结果ＨＣＣ自发性破裂出血病理基础与ＨＣＣ发生部位、类型，以及ＨＣＣ自身病理，血液动力学有关，而癌肿内出血、包膜下出血以及腹腔内出血是ＨＣＣ的ＣＴ特征。增强检查对明确肿瘤破裂出血颇有帮助。结论ＨＣＣ自发性破裂出血的诊断需密切结合临床及ＣＴ特点。

Objective To analyze the pathologic basis and CT features of spontaneous rupture in hepatocellular carcinoma (HCC). Methods The clinic manifestations, the pathologic basis and CT features seen in 13 patients with HCC were analyzed retrospectively. Results The pathologic basis of the spontaneous rupture in HCC was correlated to the location, the type and the hemodynamic of HCC while in- tracarcerous, subcapsular and abdominal cavity hemorrhage were CT finding specific for HCC. Conclusion Enhanced scan of CT is very helpful for diagnosing HCC. The accurate diagnosis of the spontaneous rupture in HCC needs close combination between clinic manifestations and CT features.