小肝癌CT诊断80例分析

Analysis of Eighty Cases of Small Cell Hepatocellular Carcinoma CT-Diagnosed

对８０例小肝癌进行回顾性分析。本组病人均经手术或病理证实，临床、ＣＴ资料完整，并作Ｂ超、甲胎蛋白（ＡＦＰ）检查。结果显示，８３个病灶ＣＴ检出７８个，敏感性９４％；８０例中ＣＴ作出定性诊断７０例（８７．５％），漏误诊８例（１０％）．对小肝癌的ＣＴ表现、漏误诊病例的原因进行分析，对其诊断治疗及手术切除的可能性进行了讨论。

Eighty cases with small cell hepatocellular carcinoma confirmed by operation and/or biopsy are studied retrospectively. Diagnosis was made by typical clinical symptoms, CT scanning, ultrasound and AFP(a-fetoprotein) examination. With CT scanning,78 of the 83 lesions were detected with a sensitivity of 94%, In 70 of the 80 cases, correct diagnosis was made with CT with a correct rate of 87.5%, but left 8 cases undiagnosed(10%). The CT features of the small cell hepatocellular carcinoma were analyzed. Discussion is made on the diagnosis, treatment and operability of the disease.