摘要
目的探讨在原发性小肝癌射频消融术后螺旋计算机断层扫描(CT)的随访价值。方法回顾性分析32例实施射频消融手术治疗的原发性小肝癌患者的临床资料,术后均定期接受螺旋CT检查。观察术后不同时刻螺旋CT检查的情况。结果术后1个月时,28例螺旋CT检查均发现肿瘤完全坏死,其余4例均经螺旋CT检查发现有肿瘤残留;术后3个月和6个月,对28例肿瘤坏死者实施螺旋CT检查发现损毁灶均较首次检查缩小,且无明显强化。结论螺旋CT可以准确评估原发性小肝癌射频消融术后疗效及复发情况,是一种理想的随访检查手段。
Objective To investigate the value of spiral computed tomography（CT） in the diagnosis of primary small hepatocellular carcinoma after radiofrequency ablation. Methods Clinical data of 32 cases of patients with primary small hepatocellular carcinoma treated with radiofrequency ablation（RFA） were retrospectively analyzed. All patients were examined with spiral CT regularly. The spiral CT examination situations were observed at different moments after operation. ResultsAt 1 month after operation, there were 28 patients with CT who were found to be completely necrotic, and the other 4 cases were found to have residual tumor by spiral CT. At 3 months after operation and 6 months after operation, 28 cases of completely necrotic malignant tumors were examined by spiral CT, and the results showed that the lesions were significantly reduced compared with the first examination, and there was no obvious enhancement in the patients. Conclusion Spiral CT can accurately evaluate the efficacy and recurrence of primary small hepatocellular carcinoma after radiofrequency ablation, which is an ideal method for follow-up examination.
作者
陈立君
CHEN Lijun(Radiology Department, Liaoyuan Maternal and Infant＇s Hospital of Jilin Province, Liaoyuan Jilin 136200, China)
出处
《中国继续医学教育》
2017年第3期57-58,共2页
China Continuing Medical Education
关键词
螺旋CT
原发性小肝癌
射频消融
影像学特征
spiral CT
primary small hepatocellular carcinoma
radiofrequency ablation
imaging characteristics
