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目的:对CT灌注成像对肝炎后肝硬化基础上原发性肝癌血流动力学的研究进行分析探讨.方法:随机抽取在2009年7月-2012年7月间我院收治的肝炎后肝硬化基础上原发性肝癌患者病例36例,对其展开同层动态扫描,并对血流量、血容量、平均通过时间、毛细血管表面通透性、肝动脉灌注分数、IRF到达时间等灌注指标进行测量,分别对比分析肝实质和原发肝癌.结果:相对于肝脏实质而言,原发性肝癌的以上各项观察指标均发生显著变化,且(P<0.05).结论:在肝炎后的肝硬化演变过程当中,原发性肝癌存在于其本底基础不同的显著性的血流动力学变化,值得关注.“,”objective to CT perfusion imaging in patients with posthepatitic cirrhosis and primary hepatocelular carcinoma based hemodynamic studies carries on the analysis discussion. Random sampling method in 2009 July -2012 year in July in our hospital from liver cirrhosis after hepatitis based on patients with primary liver cancer 36 cases, to start with the layer of dynamic scanning, and on blood flow, blood volume, mean transit time, capilary permeability surface, hepatic artery perfusion scores, IRF arrival time of perfusion index measurement, respectively, comparative analysis of liver parenchyma and primary hepatocelular carcinoma. Results relative to the parenchyma of the liver, hepatocelular carcinoma above al the observed indexes are changed greatly, and ( P<0.05 ). Conclusion in post hepatitis cirrhosis evolution process, primary liver carcinoma in the base of different significant hemodynamic changes, worthy of attention.