西南国防医药2017，Vol.27Issue(2)：156-158,3.DOI:10.3969/j.issn.1004-0188.2017.02.018
320排CT肝癌术前残肝体积评估的临床应用
Clinical application of 320-detector CT to preoperative evaluation of residual liver volume in patients with liver cancer
乔赞峰 1杜飞舟 1顾明 1徐元昌 1何次 1蒋锐1
作者信息
- 1. 610083成都,成都军区总医院医学影像科
- 折叠
摘要
Abstract
Objective To explore the clinical value of the volume measurement function of post-processing workstation of 320-detector CT applied to preoperative evaluation of residual liver volume in patients with liver cancer.Methods A total of 21 patients with tumor type primary liver cancer received preoperative three-phase enhanced scanning of 320-detector CT and post-processing reconstruction in order to form angiographic image of hepatic artery,portal vein and hepatic vein system,and the total liver volume,tumor volume,preoperatively resected liver volume and residual liver volume were measured quantitatively according to the surgical needs.After the operation,the volume of excised liver was measured by use of water measurement method,and the liver function was evaluated,Results Among all 21 patients,there was no significant difference between the assessed results of the preoperatively resected liver volume and the postoperative liver volume (P ＞ 0.05).After the operation,liver function damage was increased in four cases,and the corresponding rate of residual liver volume was 38.5％-65.5％,with an average of 47.2％.The postoperative follow-up visit showed that all patients' survival time lasted for more than two months.Conclusion The volume measurement function of postprocessing workstation of 320-detector CT can be used for accurate preoperative evaluation of liver volume in vivo,so it is worthy of clinical application.关键词
320排CT/肝癌/体积/测量Key words
320-detector CT/liver cancer/volume/measurement分类
医药卫生引用本文复制引用
乔赞峰,杜飞舟,顾明,徐元昌,何次,蒋锐..320排CT肝癌术前残肝体积评估的临床应用[J].西南国防医药,2017,27(2):156-158,3.
