64排螺旋CT成像在原发性肝癌中的诊断价值

Diagnostic Value of 64-slice Spiral CT Imaging in Primary Hepatic Carcinoma

目的:分析64排螺旋CT成像在原发性肝癌中的诊断价值。方法:选取2022年1—12月松滋市人民医院收治的原发性肝癌患者80例,以数字减影血管造影(DSA)检查为诊断金标准,所有患者均行64排螺旋CT成像检查。观察患者原发性肝癌、肿瘤直径检出情况,并分析图像特征。结果:64排螺旋CT成像对胆管细胞癌、肝细胞癌、混合型癌的检出率均低于DSA,但两者比较,差异均无统计学意义(P>0.05)。64排螺旋CT成像对肿瘤直径<1 cm的检出率低于DSA,但两者比较,差异无统计学意义(P>0.05)。结论:原发性肝癌患者行64排螺旋CT成像,图像特征较为明显,对肿瘤直径和肝癌分型的检出率接近金标准。

Objective:To analyze the diagnostic value of 64-slice spiral CT imaging in primary hepatic carcinoma.Method:A total of 80 patients with primary hepatic carcinoma admitted to Songzi People's Hospital from January 2022 to December 2022 were selected.Digital substraction angiography(DSA)was used as the diagnostic gold standard,and all patients underwent 64-slice spiral CT imaging.The detection of primary hepatic carcinoma and tumor diameter in patients was observed,and the imaging features were analyzed.Result:The detection rate of 64-slice spiral CT imaging for cholangiocellular carcinoma,hepatocellular carcinoma and mixed type carcinoma were lower than that of DSA,but there were no significant differences between them(P>0.05).The detection rate of 64-slice spiral CT imaging for tumor diameter<1 cm was lower than that of DSA,but there was no statistical significance between them(P>0.05).Conclusion:The 64-slice spiral CT imaging was performed in the diagnosis of primary hepatic carcinoma,the image features were obvious,and the detection rate of tumor diameter and hepatic carcinoma classification was close to the gold standard diagnosis.