Study on the characteristics of"indulgence of vein"in patients with hepatic alveolar echinococcosis
10.3969/j.issn.1002-1671.2018.04.014
- VernacularTitle:肝泡型包虫病"嗜静脉血管"特点研究
- Author:
Xiaofei YANG
1
;
Haihua BAO
;
Jiayuan CAO
;
Weixia LI
;
Hailong SU
Author Information
1. 青海大学附属医院影像中心
- Keywords:
hepatic alveolar echinococcosis;
computed tomography
- From:
Journal of Practical Radiology
2018;34(4):541-544,567
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the physiological characteristics of vascular invasion of hepatic alveolar echinococcosis(HAE) and the growth pattern of lesion.Methods 120 cases with HAE were all scanned by 256 slices MSCT,then the images were taken three-dimensional reconstruction.A comparison between pathology and images were made for the evaluation of vascular invasion.Results Pathological examination showed that the invasion rate of intrahepatic vein(left hepatic vein,middle hepatic vein,right hepatic vein, inferior vena cava),portal vein and hepatic artery were 34.38%,31.11%,22.50%,respectively.176 branches of the intrahepatic vein, 67 branches of the hepatic artery and 127 branches of portal vein were involved.Combined with the pathology,the Kappa values were 0.868,0.725 and 0.844.Conclusion HAE is easy to involve the intrahepatic veins as it grows,considering its"indulgence of vein"feature.In order to improve the targeting effect,the mode of administration could be changed.MSCT can exactly evaluate the invasion of intrahepatic vessels,providing important basis for clinical treatment.
