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4种显像方法诊断微小肝细胞癌的敏感性 被引量:5

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摘要 目的比较4种显像方法对微小肝细胞癌(病灶直径<2cm)诊断的敏感性。方法微小肝细胞癌患者29例(共34个结节),分别行多层螺旋CT动态增强扫描(contrast-enhanced computed tomography,CECT)、超声造影(contrastenhanced ultrasound,CEUS)、MRI动态增强扫描及CT经动脉造影(CT arterial portography,CTAP)检查,并与穿刺活检组织病理结果进行对照,比较4种方法诊断微小肝细胞癌的符合率。结果与组织病理结果进行对照,CECT、CEUS、MRI动态增强扫描及CTAP诊断微小肝细胞癌的符合率分别为52.9%(18/34)、67.6%(23/34)、76.5%(26/34)与88.2%(30/34),CECT诊断符合率低于CTAP(P<0.05),CEUS、MRI动态增强扫描及CTAP诊断符合率比较差异无统计学意义(P>0.05)。结论 CUES及MRI动态增强扫描诊断微小肝细胞癌的敏感性与CTAP相近似,有望替代CTAP成为诊断微小肝细胞癌的主要非侵袭性影像诊断方法。
出处 《中华实用诊断与治疗杂志》 2013年第9期898-900,共3页 Journal of Chinese Practical Diagnosis and Therapy
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共引文献42

同被引文献42

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