肝脏增强CT扫描在肝癌诊断中的临床分析

Clinical analysis of liver enhanced CT scan in the diagnosis of liver cancer

目的:探讨肝癌诊断中行肝脏增强CT扫描的价值。方法:选择本院于2015年1月—2017年1月收治的60例肝癌患者为研究对象,回顾分析患者行肝脏增强CT扫描的影像学资料。结果:经CT扫描确诊78个病灶,其中单发患者42例,多发患者18例。主要受累区为肝右叶,病灶直径2~21cm,平均(4.1±2.1)cm。腹水患者11例,弥漫性病灶患者12例,腹腔动脉周围及肝门淋巴结增大患者7例。确诊56例,误诊4例,确诊率为93.7%。结论:通过在临床肝癌诊断过程中行肝脏增强CT扫描,有助于清晰地将肿瘤大小、位置等特征清晰地显示出来,可以显著提升肝癌检出率。

Objective To investigate the value of liver enhanced CT scan in the diagnosis of liver cancer. Methods 60 patients with liver cancer who treated in this hospital during 2015/1-2017/1 as the subiects. The imaging data of liver enhanced CT scan were retrospectively analyzed. Results 78 lesions were diagnosed by CT scan, of which 42 were solitary and 18 were multiple. The main affected area was the right lobe of the liver, with a diameter of 2-21cm and an average of （4.1± 2.1） cm. There were 11 patients with ascites, 12 patients with diffuse lesions, 7 patients with enlarged celiac artery and hilar lymph nodes. 56 cases were diagnosed, 4 cases were misdiagnosed, the diagnosis rate was 93.7%. Conclusion By enhancing the CT scan in the clinical diagnosis of HCC, it is helpful to clearly display the size, location and other features of the liver, which can significantly improve the detection rate of hcc.