徐宏伟,晁明,徐风峰,刘奕青,顾卫根,詹灵,赵嵩.多层螺旋CT对肝癌合并肝动静脉瘘的诊断价值[J].中国医学影像技术,2003,19(4):432~434
多层螺旋CT对肝癌合并肝动静脉瘘的诊断价值
Value of Multi-Slice Spiral CT in the Diagnosis of Liver Carcinoma with Hepatic Arteriovenous Fistula
投稿时间:2002-09-06  
DOI:
中文关键词:  肝癌  动静脉瘘  螺旋CT  数字减影血管造影术
英文关键词:Liver carcinoma  Arteriovenous fistula  Spiral CT  DSA
基金项目:
作者单位
徐宏伟 浙江大学医学院附属第二医院放射科,浙江杭州 310009 
晁明 浙江大学医学院附属第二医院放射科,浙江杭州 310009 
徐风峰 浙江大学医学院附属第二医院放射科,浙江杭州 310009 
刘奕青 浙江大学医学院附属第二医院放射科,浙江杭州 310009 
顾卫根 浙江大学医学院附属第二医院放射科,浙江杭州 310009 
詹灵 浙江大学医学院附属第二医院放射科,浙江杭州 310009 
赵嵩 浙江大学医学院附属第二医院放射科,浙江杭州 310009 
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中文摘要:
      目的 探讨多层螺旋CT对肝癌合并肝动静脉瘘的诊断价值。方法 回顾性分析1年中接受多层螺旋CT检查的405例肝癌病人的CT资料和同时接受介入治疗的64例病人的DSA资料,并进行对照。结果 共发现41例肝癌合并肝动静脉瘘,分为:肝动脉门静脉瘘36例(87.8%),肝动脉肝静脉瘘2例(4.9%),混合型肝动静脉瘘3例(7.3%)。13例肝动静脉瘘得到DSA证实,特异性为100%。结论 多层螺旋CT诊断肝癌合并肝动静脉瘘具有相当的优越性。
英文摘要:
      Objective To evaluate the value of multi-slice spiral CT in the diagnosis of liver carcinoma with hepatic arteriovenous fistula (AVF). Methods In a period of 1 year,405 patients with liver carcinoma were received multi-slice spiral CT examination,among them 64 cases were also received interventional therapy.The CT and DSA images were analyzed and compared with each other retrospectively. Results Forty-one cases of liver carcinoma with hepatic AVF were found.They could be divided into 36 cases of hepatic arterioportal fistula (HAPF)(87.8%),2 hepatic artery-hepatic vein fistula (HAHVF)(4.9%)and 3 HAPF coexisting with HAHVF(7.3%).Thirteen cases of them were verified by DSA,specificity was 100%. Conclusion Multi-slice spiral CT has obvious advantages on the diagnosis of liver carcinoma with hepatic AVF.
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