肝癌微血管浸润术前多层螺旋CT评估的临床研究

Clinical Study of Multi-slice Spiral CT Evaluation before Liver Cancer Microvascular Infiltration

目的探究肝癌微血管浸润术前多层螺旋CT(MSCT)评估的临床研究。方法选取2016年4月至2017年8月我院收治的118例肝癌患者作为研究对象,根据病理结果检查分为微血管侵犯组和无微血管侵犯组。观察两组患者性别、年龄、肝炎类型、肝功能分级、甲胎蛋白(AFP)值、Edmondson Steiner分级、肿瘤大小、肿瘤边缘情况、肿瘤包膜情况、动脉期CT值、门静脉期CT值、延迟期CT值、晕征。结果根据病例结果分为微血管侵犯组58例,无微血管侵犯组60例;两组患者年龄、性别、肝炎类型、肝功能分级、AFP值、动脉期及延迟期CT值比较,差异无统计学意义(P>0.05);微血管侵犯组Edmondson Steiner分级、肿瘤大小、肿瘤边缘不光滑、肿瘤无包膜、门静脉期CT值、晕征与无微血管侵犯组比较,差异具有统计学意义(P<0.05)。结论肝癌微血管浸润术前行MSCT检查能够预测肝癌微血管侵犯。

Objective To investigate the clinical study of multi-slice spiral CT(MSCT) evaluation before liver cancer microvascular infiltration.Methods A total of 118 patients with liver cancer admitted in our hospital between April 2016 and August 2017 were divided into microvascular invasion group and non-microvascular invasion group according to the pathological results.The gender,age,hepatitis type,liver function classification,alpha fetoprotein(AFP),Edmondson Steiner classification,tumor size, tumor margin,tumor envelope,arterial-phase CT value,portal vein CT value,delayed CT value,halo sign were observed.Results According to the case results,58 cases were in microvascular invasion group and 60 cases were in non-microvascular invasion group.There were no significant differences in age,gender,hepatitis type,liver function classification,AFP value,arterial phase and delayed CT value between the two groups (P>0.05).There were statistical significances in Edmondson Steiner classification, tumor size,rough tumor margin,no tumor envelope,portal vein CT value,halo sign between microvascular invasion group and non-microvascular invasion group (P<0.05). Conclusion MSCT examination before liver cancer microvascular infiltration can predict microvascular invasion of liver cancer.