目的 分析多层螺旋CT（MSCT） 在原发性肝癌患者经肝动脉化疗栓塞 （TACE）术后随访中的应用。方法 选择 我院2013年1月至2017年12月确诊为原发 性肝癌并行TACE术的84例患者，术后定期 进行MSCT扫描，记录肿瘤残留率、肝内肿 瘤复发率及新生病灶检出率。结果 MSCT 检查肿瘤残留灵敏度、特异度和准确率分 别为85.29%、91.46%和89.66%。MSCT检查 肝内肿瘤复发灵敏度、特异度和准确率分 别为93.10%、94.25%和93.97%。MSCT新生 病灶检出率为74.07%，漏诊率为14.81%， 误诊率为11.11%。结论 MSCT对原发性肝 癌患者TACE术后肿瘤残留、肝内肿瘤复发 检出均有较高诊断价值。

Objective To analyze the application of multislice spiral CT (MSCT) in the follow-up of patients with primary liver cancer after transhepatic arterial chemoembolization (TACE). Methods 84 cases of patients diagnosed as primary liver cancer and treated with TACE from January 2013 and December 2017 in our hospital were selected, and they were given the MSCT scan regularly after operation. The tumor residual rate, recurrence rate of intrahepatic tumor and the detection rate of new lesions were recorded. Results The sensitivity, specificity and accuracy of MSCT in diagnosis of tumor residual were 85.29%, 91.46% and 89.66%. And the sensitivity, specificity and accuracy of MSCT in detecting intrahepatic tumor recurrence were 93.10%, 94.25% and 93.97%. The detection rate of new lesions by MSCT was 74.07%, and the missed diagnosis rate was 14.81%, and the misdiagnosis rate was 11.11%. Conclusion MSCT is of high diagnostic value for the detection of tumor residual and intrahepatic tumor recurrence after TACE operation in patients with primary liver cancer.