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目的探讨螺旋CT在原发性肝癌术前诊断、鉴别诊断、能否手术、手术方法及手术风险评估中的作用。方法41例原发性肝癌患者入院后行常规螺旋CT检查并进行术前评估。结果绝大多数原发性肝癌呈典型CT表现;23例经术前评估能手术的患者术后无一例出现严重并发症。结论螺旋CT检查结合其他检查能基本得出原发性肝癌的诊断和鉴别诊断;通过螺旋CT检查进行原发性肝癌术前评估,基本能了解原发性肝癌手术的可行性、方法、风险及术中注意点。
Objective To explore the role of spiral CT in preoperative diagnosis, differential diagnosis, surgical treatment, surgical methods and surgical risk assessment of primary liver cancer. Methods 41 patients with primary liver cancer admitted to hospital after routine spiral CT examination and preoperative evaluation. Results Most of the primary hepatocellular carcinoma showed typical CT findings. None of the 23 patients who underwent preoperative evaluation had severe complications after operation. Conclusion Spiral CT combined with other tests can basically get the diagnosis and differential diagnosis of primary liver cancer. The preoperative evaluation of primary liver cancer by spiral CT can basically understand the feasibility, method, risk and prognosis of primary liver cancer Intraoperative attention points.