肝癌TAE后残癌灶的影像学诊断及治疗初步研究

The primary study of diagnostic imaging and treatment of the remainders of the hepatocellular carcinoma lesion after TAE

目的:探讨肝癌TAE后RHL影像学诊断及治疗。方法:30例共46个肝原发癌灶,TAE后有73个NDRL。结果:TAE后3～4WRHL的CT表现为NDRL区73个,大小～2、～4,和～6cm各有36、32和5个。结论:CT和血管造影诊断RHL较肝区平片准确。根据RHL的影像学表现,分析其形成原因,用以指导影像学诊断和介入治疗具有重要意义。

Objective To study the diagnostic imaging and treatment of the remainders of the hepatocellular carcinoma lesion (RHL) after transcatheter arteral embolization (TAE). Methods There were 30 patients with 46 primary focuses in the livers, and 73 non - deposited regions of lipidodol (NDRL) after TAE. Results The findings of CT scans of RHL in post -TAE 3rd -4th W were presented as NORL (n=73); The size of NDRL were as follows:-2cm (n = 36), 4-6cm (n = 32) and 6cm (n = 5), respectively. Conclusion The CT scans and angiographies were more accurary than X-ray plain films in diagnosis of RHL. According as the image characteritics of RHL, the relevant caused of RHL were analyzed, so it is useful to guide imageogic diagnosis and inventional treatment.