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肝硬化并发原发性肝癌合并肝囊肿患者的影像学特征

钟景云 梁满球 聂悦富 黎宁

钟景云, 梁满球, 聂悦富, 黎宁. 肝硬化并发原发性肝癌合并肝囊肿患者的影像学特征[J]. 分子影像学杂志, 2018, 41(2): 165-168. doi: 10.3969/j.issn.1674-4500.2018.02.07
引用本文: 钟景云, 梁满球, 聂悦富, 黎宁. 肝硬化并发原发性肝癌合并肝囊肿患者的影像学特征[J]. 分子影像学杂志, 2018, 41(2): 165-168. doi: 10.3969/j.issn.1674-4500.2018.02.07
Jingyun ZHONG, Manqiu LIANG, Yuefu NIE, Ning LI. Imaging characteristics of hereditary hepatic carcinoma combined with cirrhosis in patients with hepatic cysts[J]. Journal of Molecular Imaging, 2018, 41(2): 165-168. doi: 10.3969/j.issn.1674-4500.2018.02.07
Citation: Jingyun ZHONG, Manqiu LIANG, Yuefu NIE, Ning LI. Imaging characteristics of hereditary hepatic carcinoma combined with cirrhosis in patients with hepatic cysts[J]. Journal of Molecular Imaging, 2018, 41(2): 165-168. doi: 10.3969/j.issn.1674-4500.2018.02.07

肝硬化并发原发性肝癌合并肝囊肿患者的影像学特征

doi: 10.3969/j.issn.1674-4500.2018.02.07
详细信息
    作者简介:

    钟景云,主治医师,E-mail: xinhuicjy@126.com

Imaging characteristics of hereditary hepatic carcinoma combined with cirrhosis in patients with hepatic cysts

  • 摘要: 目的 总结肝硬化并发原发性肝癌合并肝囊肿(HHC)患者的影像学特征。 方法 分析106例HHC患者的上腹部增强CT,观察其临床特征、囊肿的直径、所在肝段、CT值等,并以109例无合并原发性肝癌的肝硬化肝囊肿患者作为对照。 结果 与无合并肝癌的对照组比较,HHC组的年龄偏大(P=0.039)、肝炎合并比例高(P=0.036)且肝硬化病程长(P=0.043);HHC组的囊肿为2~9个,而对照组为1~5个,两组的囊肿总数差异具有统计学意义(P<0.05);HHC组患者囊肿直径3~11 cm,而对照组为2~6 cm,两组的囊肿直径差异具有统计学意义(P<0.05);对照组的CT值多在15 Hu以内,而HHC组约半数超过15 Hu,两组差异具有统计学意义(P<0.05);HHC组的囊肿病灶总体以右半肝为主,尤其是S6段及S8段偏多,左半肝则以S3段偏多;对照组患者囊肿病灶以左半肝为主,尤其S3及S4偏多,两组的囊肿肝段分布差异具有统计学意义(χ2=2.572,P=0.011)。 结论 年龄、肝炎、肝硬化可能是原发性肝癌患者合并肝囊肿的危险因素;多发、右叶多见、直径大、易发生坏死,是HHC患者的囊肿形态学特征。

     

  • 图  1  肝硬化并发原发性肝癌合并肝囊肿患者患者上腹部增强CT图像

    A: 肝脏形态缩小, 表面呈波浪状, 各叶比例失调, 门脉主干扩张增粗; B: 肝VI段可见一类圆形的稍低密度影, 增强扫描病灶动脉期明显强化, 平衡期及延迟期呈低密度, 大小5.5 cm×4.7 cm; C, D: 门静脉及肝静脉显示良好, 另肝内可见多个大小不等的不强化, 低密度影.

    表  1  两组患者一般情况比较(n, Mean±SD)

    分组 n 性别 年龄(岁) 肝炎病史 肝硬化病程(年)
    HHC组 106 75 31 55.48±16.39 103 3 19.26±5.38
    对照组 109 71 38 51.28±11.67 94 15 13.63±3.71
    χ2/t χ2=1.022 t=6.294 χ2=3.124 t=3.175
    P 0.086 0.039 0.036 0.043
    下载: 导出CSV

    表  2  两组患者囊肿特征比较(Mean±SD)

    分组 n 囊肿总数 直径(cm) CT值(Hu)
    HHC组 106 5.39±3.28 6.19±3.27 18.38±4.29
    对照组 109 3.16±1.67 4.16±2.28 11.36±3.01
    t 1.761 1.922 4.206
    P 0.036 0.041 0.023
    下载: 导出CSV
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  • 收稿日期:  2018-02-12
  • 刊出日期:  2018-04-01

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