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目的探讨CT测量保留肝容积率评估肝癌术前肝储备功能的价值。方法前瞻性研究原发性肝癌手术病人59例。所有病人均行肝脏双期增强CT扫描。术前用CT测量保留肝容积率,与术后切除容积和生存率进行级间差异性分析。结果保留肝容积率≤50%和>50%之间的生存率差异有统计学意义(χ2=4·9881,P<0·05);而肝切除率≤50%和>50%之间差异无统计学意义(χ2=0·0154,P>0·05)。结论保留肝容积率可以作为临床肝癌术前评估肝储备功能的重要指标之一。
Objective To investigate the value of CT measurement in preserving liver volume ratio in assessing preoperative liver reserve function of liver cancer. Methods Prospective study of 59 patients with primary liver cancer surgery. All patients underwent liver double-phase enhanced CT scan. Preoperative CT measurement of liver volume retention rate, and postoperative resection volume and survival rate of inter-level differences analysis. Results There was significant difference in the survival rate between the liver volume retention ≤50% and> 50% (χ2 = 4.9881, P <0.05), but the difference between the liver resection rates ≤50% and> 50% No statistical significance (χ2 = 0 · 0154, P> 0.05). Conclusion The retention of liver volume fraction can be used as one of the most important indicators for assessing liver reserve function in clinical liver cancer.