摘要肝细胞癌有术后高复发率、高致死率等特点。研究显示肝细胞癌微血管侵犯(MVI)与术后早期复发与转移存在联系，影响患者预后。术前预测MVI成为肝细胞癌新的研究方向。术前精准预测MVI有助于预先实施相关干预(诸如扩大切除范围等)，实现患者受益最大化。本文基于肝细胞癌的生物学特征、基因测定、影像学与肿瘤标志物四个维度总结MVI术前预测的研究现状。

abstractsHepatocellular carcinoma (HCC) is characterized by high postoperative recurrence and mortality rates. In recent years, researchers have identified a significant correlation between microvascular invasion (MVI) and early postoperative recurrence and metastasis of HCC, making it a focal point of HCC research. Accurate preoperative prediction of MVI occurrence and the implementation of relevant interventions (such as expanded resection) could provide substantial benefits to patients. This study analyzes global research over the past decade on MVI predictive indicators based on tumor biological characteristics, genetic measurements, imaging examinations, and tumor markers. The aim is to use these predictive indicators to objectively forecast the occurrence of MVI, thereby aiding in preoperative individual assessments and enhancing treatment plans.