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目的探讨16排螺旋CT三维重建技术在肝癌介入治疗中的应用价值。方法本院住院并进行介入治疗的肝癌患者56例,所有患者均进行碘油沉积检查、肝脏DSA造影检查以及16排螺旋CT三维重建检查。结果 44例患者进行DSA造影检查,检出的病灶数明显少于CT扫描检查的结果(P<0.05)。12例患者由于腹腔干狭窄而无法进行腹腔动脉造影检查,采用肠系膜上动脉造影检查。经16排螺旋CT三维重建检查结果显示,44例患者中,32例患者由于肝癌的供血血管比较细小而造成DSA造影检查结果显示不佳,12例患者由于大病灶对小病灶的遮盖而造成DSA造影检查结果显示不佳。结论 16排螺旋CT三维重建技术在肝癌检查中可以清晰的显示患者的肿瘤大小以及周围血管的情况,为介入治疗提供准确的依据,值得临床推广。
Objective To investigate the value of 16-slice spiral CT three-dimensional reconstruction in the interventional treatment of liver cancer. Methods 56 patients with HCC who were hospitalized and interventionalized in our hospital were enrolled in this study. Lipiodol deposition, hepatic DSA angiography and three-dimensional reconstruction of 16-slice spiral CT were performed in all patients. Results Forty-four patients underwent DSA angiography. The number of lesion detected was significantly less than that of CT scan (P <0.05). 12 patients due to celiac stenosis and can not be celiac artery angiography, superior mesenteric artery angiography. The 16-slice spiral CT three-dimensional reconstruction examination results showed that 32 of 44 patients, due to the small blood vessels of liver cancer caused by DSA radiography showed poor results, 12 patients due to large lesions of small lesions caused by DSA Angiography showed poor results. Conclusion 16-slice spiral CT three-dimensional reconstruction in liver cancer examination can clearly show the size of the patient’s tumor and the surrounding blood vessels, providing an accurate basis for interventional therapy, worthy of clinical promotion.