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目的 :探讨原发性肝癌发生局限性破裂出血的CT表现、早期诊断及治疗。方法 :回顾性分析我院 36例手术证实为肝癌局限性破裂出血的患者的临床资料。结果 :36例患者术前CT误诊为腹水 ,35例存在上腹痛史 ,33例行手术切除 ,35例为肝细胞癌 ,36例肝肿瘤位于肝表面。结论 :CT检查肝癌靠近于肝脏表面 ,肿瘤周围有局限性低密度区 ,临床上最近有上腹疼痛或腹部剧痛史 ,以往曾有乙型肝炎病史或HBsAg阳性 ,应考虑为肝癌局限性破裂出血的可能。能手术切除者应尽力切除 ,不能手术切除者应采用经皮肝动脉栓塞化疗或肝动脉结扎术 ,并结合瘤内无水酒精注射术
Objective: To investigate the CT manifestations, early diagnosis and treatment of focal liver cirrhosis with localized rupture. Methods: A retrospective analysis of 36 cases of our hospital confirmed liver cirrhosis with localized bleeding in patients with clinical data. Results: 36 cases were misdiagnosed as ascites by preoperative CT, 35 cases had history of upper abdominal pain, 33 cases were surgically removed, 35 cases were hepatocellular carcinoma and 36 cases were located on the liver surface. Conclusion: CT examination of liver cancer close to the surface of the liver, the tumor around the limited low-density area, the recent clinical history of abdominal pain or abdominal pain, had a history of hepatitis B or HBsAg positive, should be considered for localized liver cancer rupture Bleeding may be. Surgical resection should try their best to remove, who can not be surgically removed percutaneous transhepatic arterial chemoembolization or hepatic artery ligation, combined with intratumoral alcohol injection