The value of CTA and CTAP in the diagnosis of liver cancer after surgical treatment
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摘要: 目的通过对手术后的原发性肝癌,定期行CTA和CTAP检查,并且对比DSA,US以及CT等检查方法,对比几种检查在肝癌切除手术后复查中的敏感性。方法选择原发性肝癌手术后患者15例,手术后1、3、6月各行一次检查,检查内容包括AFP、B超、常规CT和DSA以及插管行CTA和CTAP检查,观察各种检查的结果。结果在肝癌手术后复发的数目以及检出时间方面,CTA、CTAP联合检查率高于其他检查,检出时间提前。结论CTA、CTAP在肝癌术后复查中有很高的实用价值。Abstract: Objective To investigate the application and significance of CTA and CTAP in reexamination of liver cancer after surgical treatment.Methods CTA and CTAP were performed in 15 patients with primary hepatic cancer being operated.Results CTA and CTAP discovered 21 (91.3%) recurrent lesions in the peripheral region of embolized tumors, and 37 (92.5%) new lesions.The cirrhotic nodules and flow changes were well demonstrated.Conclusion CTA and CTAP are the most sensitive and specific method for the reexamination of liver cancer being operated, and play an important role in evaluating therapeutic effect and detecting early lesions.
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[1]魏纬, 祁吉.CTA和CTAP联合应用诊断肝肿瘤的价值[J].中国医学影像学杂志, 2001, 9 (5) ∶360-361. [2]杨海君, 韩铭钧.CTHA/CTAP联合应用技术及其临床价值[J].放射学实践, 2000, 15 (1) ∶50. [3]张军华, 马威, 高磊, 等.CTHA/CTAP与DSA在小肝癌诊断中的对比分析[J].热带医学杂志, 2006, 9∶121-122. [4]高海燕, 朱华, 从占杰.三种肝癌标志物对肝癌诊断特异性的评价[J].实用肿瘤学杂志, 2004, 05∶56-57. [5]陈绪珠, 孔庆奎, 张之峰.原发性肝癌瘤体大小、数目与血清浓度的相关性研究[J].医学影像学杂志, 2006, 03∶78-79. [6]刘鹏飞, 杨秀华, 加村毅.微小肝细胞结节性病变CTHA及CTAP的诊断价值[J].放射学实践, 2005, 4∶120-122. [7]宋莉, 佟小强, 王健.CTAP联合CTA评价肝脏恶性肿瘤射频消融术疗效[J].中国介入影像与治疗学, 2006, 4∶120-121. [8]Poon RT, Fan ST, Lo CM, et al.Intrahepatic recurrence after cura-tive resection of hepatocellular carcinoma long-term results of treat-ment and prognostic factors[J].Ann Surg, 1999, 229∶216-222.
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