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青年人原发性肝癌的发病率及死亡率呈上升趋势,提高诊断率,早期治疗肝癌对其预后尤为重要,青年人原发性肝癌发病特点:恶性程度高,进展快,预后差,甲胎蛋白水平高,发病与(HCV或HBV)病毒感染密切相关,青年人原发性肝癌诊断方法有:甲胎蛋白检测是定性诊断的最佳标志物;B超是最常用方法;螺旋CT、磁共振扫描已广泛运用于临床;肝动脉灌注指数有可能成为诊断青年人原发性肝癌的最佳指标;超顺磁性氧化铁比Gd-DTPA磁共振对比剂的增强MR检出小肝癌有一定优势;选择性肝动脉造影与穿刺细胞学已成为诊断中的重要手段。
The incidence and mortality of primary hepatocellular carcinoma in young people are on the rise, and the diagnostic rate is increased. Early treatment of hepatocellular carcinoma is particularly important for its prognosis. The incidence of primary hepatocellular carcinoma in young people is characterized by high degree of malignancy, rapid progression, poor prognosis, High levels of protein, the incidence of (HCV or HBV) virus infection is closely related to the diagnosis of young patients with primary liver cancer are: alpha fetoprotein detection is the best diagnostic test for the best markers; B ultrasound is the most commonly used method; spiral CT, magnetic Resonance scanning has been widely used in clinical; hepatic artery perfusion index may be the best indicator of diagnosis of primary liver cancer in young people; superparamagnetic iron oxide than Gd-DTPA magnetic resonance contrast agent enhanced MR detection of small liver cancer have some advantages ; Selective hepatic arteriography and aspiration cytology has become an important diagnostic tool.