MSCT动脉三期扫描联合CT血管造影在占位性肝脏病变小肝癌患者诊断中的应用价值

Application value of MSCT three-phase arterial scanning combined with CT angiography in the diagnosis of small hepatocellular carcinoma with space-occupying liver disease

目的:探究多层螺旋CT(MSCT)动脉三期扫描联合CT血管造影(CTA)在占位性肝脏病变小肝癌(SHCC)患者诊断中的应用价值。方法:收治疑似占位性肝脏病变SHCC患者62例,均接受MSCT动脉三期扫描、CTA检查。结果:62例患者中,经病理证实52例阳性,10例阴性。两者联合诊断敏感度、准确度高于MSCT动脉三期扫描、CTA单项诊断(P<0.05),两者联合诊断特异度与MSCT动脉三期扫描、CTA单项诊断比较,差异无统计学意义(P>0.05)。结论:CTA联合MSCT动脉三期扫描可提高占位性肝脏病变SHCC患者诊断敏感度、准确度,有利于早期诊断。

Objective:To explore the application value of MSCT three-phase arterial scanning combined with CTA in the diagnosis of small hepatocellular carcinoma with space-occupying liver disease(SHCC).Methods:62 cases of suspected SHCC of space-occupying liver disease patients were selected,they underwent MSCT three-phase arterial scanning and CTA examination.Results:Of the 62 patients,52 cases were positive confirmed by pathology,10 cases were negative.The sensitivity and accuracy of combined diagnosis were higher than MSCT three-phase arterial scanning and CTA single diagnosis(P<0.05),there was no significant difference in the specificity of combined diagnosis betweenMSCT three-phase arterial scanning and CTA single diagnosis(P>0.05).Conclusion:CTA combined with MSCT three-phase arterial scanning can improve diagnostic sensitivity and accuracy of small hepatocellular carcinoma with space-occupying liver disease,it was good for early diagnosis.