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目的探讨螺旋CT多期扫描,对提高小肝癌早期诊断的价值。方法收集本院2003年6月至2006年12月经手术、病理证实48例小肝癌的螺旋CT检查资料,对其检查方法和CT表现进行回顾性分析。结果螺旋CT多期扫描能较正确反映小肝癌血供“快进快出”的特征。48例中CT明确诊断小肝癌36例;诊断小肝癌可能大者7例;请结合临床及其他检查或随访除外小肝癌者5例。结论螺旋CT快速、层薄,是检出小肝癌最重要的影像学检查之一,平扫对小肝癌检出意义不大,多期扫描能较正确反映小肝癌血供“快进快出”的特征,具有重要要诊断价值。
Objective To investigate the value of multislice spiral CT in the early diagnosis of small hepatocellular carcinoma. Methods The data of 48 cases of small hepatocellular carcinoma confirmed by operation and pathology from June 2003 to December 2006 in our hospital were collected. The examination methods and CT findings were retrospectively analyzed. Results Spiral CT multi-phase scan can more accurately reflect the characteristics of small liver cancer blood supply “fast forward fast ”. 48 cases of CT diagnosis of small hepatocellular carcinoma in 36 cases; diagnosis of small hepatocellular carcinoma in 7 cases may be; combined with clinical and other tests or follow-up except for small liver cancer in 5 cases. Conclusions Spiral CT is fast and thin, which is one of the most important imaging examinations for small hepatocellular carcinoma. The detection of small hepatocellular carcinoma by plain scanning is of little significance, and multistep scanning can better reflect the blood supply of small hepatocellular carcinoma "Features, has important diagnostic value.