摘要
对152例LP—TAE治疗后的原发性肝癌进行CT扫描追踪观察,结果表明70.39%(107/152)的患者LP—TAE术后可导致或加重肝硬变。其CT表现特点为:①癌灶肝叶缩小,非癌肝叶增大,严重者整个肝脏缩小;②肝脏表面凹凸不平,呈锯齿状;③脾脏呈进行性增大;④肝裂增宽;⑤腹水。文中就肝脏形态改变的意义作了详细探讨,并提出了今后LP—TAE治疗时保护正常肝组织的具体措施。
Abstract patients with liver cancer treated with lipiodol-transcatheter arterial chemoembolization(Lp-TAE) were followed up with CT. The results showed that in 107 of 152 cases (70. 39%)cirrhotic changes or increase of the seventy of cirrhosis were demonstrated on CT after LP-TAE. CT findings of cirrhosis after LP-TAE are as following:①The diffected lobe of liver shows decrease in size while the normal lobe of liver enlarging; ②The surface of liver shows irregular in outline; ③The spleen shows enlargment progressively; ④The portal fissuer shows widening;⑤Ascites can be seen. The significance of changes of liver morphology is discussed,ahd the meassure of protecting the liver tissue are proposed.