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.
