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我国肝癌死亡率在癌症死亡率中由过去的第3位上升为第2位,且大多合并肝硬变。较大病灶的诊断不难,而肝硬变基础上出现的小肝癌(<3cm),以及弥漫型肝痛的诊断十分困难。此外,非肿瘤性再生结节与肝癌的鉴别诊断也是临床经常遇到的难题。目前,国内开展先进的螺旋CT及DSA(数字血管减影)检查,使小肝癌的检出率明显提高,但难以普及。作者采用经皮穿刺,经导管肝动脉注射碘油的方法对27例确诊为肝癌、3例占位性质待定的患者进行诊断和治疗,收到较好的效果,现报告如下。
The mortality rate of liver cancer in China has risen from the 3rd in the past to the 2nd in the mortality rate of cancer, and most of them have combined cirrhosis. The diagnosis of larger lesions is not difficult, and the diagnosis of small liver cancer (<3cm) and diffuse liver pain based on cirrhosis is difficult. In addition, the differential diagnosis of non-neoplastic regenerative nodules and liver cancer is also a common clinical problem. At present, domestic advanced spiral CT and DSA (digital angiography) examinations have made the detection rate of small liver cancer significantly improved, but it is difficult to popularize. The authors used percutaneous puncture and transcatheter hepatic artery injection of lipiodol to diagnose and treat 27 patients diagnosed with hepatocellular carcinoma and 3 patients with tentative properties, and received good results. The report is as follows.