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目的:评价肝癌肝动脉碘油抗癌药化疗栓塞后肿瘤发展的CT表现并探讨其有关因素。方法:搜集45例栓后CT复查发现肿瘤发展的病例进行分析。结果:45例栓后肿瘤发展的CT表现如下:(1)原瘤灶边缘局部发展15例(33.3% );(2)肿瘤整个增大发展9例(20% );(3)肝内其它部分出现1例(2.2% );(4)原瘤灶边缘部及肝内他处出现16例(35.6% );(5)肿瘤整个增大发展伴肝内他处出现4 例(9% )。结论:可通过观察栓后肿瘤边缘部碘油潴留形态判断疗效及栓后肿瘤生长情况。
Objective: To evaluate the CT findings of hepatocellular carcinoma after transcatheter arterial chemoembolization and explore the related factors. Methods: Forty-five cases of tumor development after CT examination were collected and analyzed. Results: The CT findings of the 45 cases of post-suppository tumor were as follows: (1) 15 cases (33.3%) of local development of the edge of the tumor; (2) 9 cases (20%) of the tumor enlarged and developed; (3) (4) 16 cases (35.6%) occurred in the margins of the tumor and in other parts of the liver; (5) The entire tumor grew with the appearance of other parts of the liver 4 cases (9%). Conclusion: Observe the efficacy of lipiodol retention in the margins of the suppository and evaluate the tumor growth after embolization.