肝脏灌注异常在肝脏外科疾病诊断中的价值

The value of transient hepatic perfusion disorders in the diagnosis of liver diseases

摘要: 目的: 探讨肝脏灌注异常在肝脏外科疾病诊断中的价值。方法: 对133例肝脏外科疾病的临床影像资料及病理结果进行回顾性分析。结果: 有28例发现肝脏灌注异常影像表现(21.1%,28/133),以原发性肝细胞癌为多见(22.5%,20/89),尤其是合并门静脉癌栓的肝癌病例(46.2%,12/26)。结论: 肝脏灌注异常反映了肝脏血流动力学的改变,加强对肝脏灌注异常的认识,有助于肝脏疾病的诊断鉴别、治疗选择和预后判断。

Abstract: Objective: To assess the value of transient hepatic perfusion disorders（THPD）in the diagnosis of liver diseases. Methods: The clinical data and imaging findings of 133 patients with liver diseases were retrospectively analyzed. Results: 28 cases were found to have hepatic perfusion disorders（21.1%,28/133）.The common cause was HCC（22.5%,20/89）,especially HCC with portal vein tumor thrombus（46.2%,12/26）. Conclusion: THPD reflected the changes of hepatic hemodynamics.Familiarity with these perfusion disorders will raise the level of diagnosis and result in better treatments and in more accurate evaluation of prognosis.