摘要
目的探讨CT平扫和增强扫描在鉴别肝脏血管肉瘤(PHA)与肝脏血管瘤(CHH)中的价值。方法将我院2018年1月~2019年6月接收经病理确诊的32例PHA患者设为PHA组,另将同时间段内我院接收经病理确诊的34例CHH患者设为CHH组,两组均予以CT平扫和增强扫描,观察并比较两组CT图像特点、诊断情况及肝脏指标差异。结果两组在平扫密度、边界、强化位置和动静脉短路方面比较,差异有统计学意义(P<0.05);两组在结节强化形态方面差异无统计学意义(P>0.05)。两组在肝血流、肝血容量、毛细血管表面通透性以及肝动脉灌注分数方面差异有统计学意义(P<0.05)。结论CT平扫和增强扫描肿瘤结节强化位置与动静脉短路是早期鉴别PHA及CHH的重要指标,两种疾病在CT鉴别中的肝功能指标方面存在较大差异,能给临床开展下一步治疗提供依据。
Objective To explore values of primary hepatic angiosarcoma(PHA)and cavernous hepatic hemangioma(CHH).Methods 32 PHA patients who were confirmed pathologically in our hospital from January 2018 to June 2019 were set as the PHA group and 34 CHH patients who were pathologically confirmed in our hospital during the same period were set as the CHH group.Both groups received plain CT scan and enhanced CT scan.CT image characteristics,diagnosis and liver index differences were observed and compared between the two groups.Results There were statistically significant differences between the two groups in terms of scan density,borders,intensive positions and arteriovenous shorts(P<0.05).There was no statistically significant difference in nodule enhancement between the two groups(P>0.05).There were statistically significant differences between the two groups in terms of hepatic blood flow,hepatic blood volume,capillary surface permeability and hepatic artery perfusion fraction(P<0.05).Conclusion CT plain scan and enhanced scan of tumor nodule enhancement position and arteriovenous shorts are important indexes for early identification of PHA and CHH.There are great differences in liver function indexes in CT differentiation between the two diseases,which can provide basis for further clinical treatment.
作者
李宜亮
张春霞
李勇
LI Yiliang;ZHANG Chunxia;LI Yong(Department of Radiology,Baiyun District Hospital of Traditional Chinese Medicine,Guangzhou 510470,China)
出处
《中国医药科学》
2020年第7期211-214,共4页
China Medicine And Pharmacy
关键词
增强扫描
CT平扫
肝脏血管肉瘤
肝脏血管瘤
Enhanced scan
Plain CT scan
Primary hepatic angiosarcoma
Cavernous hepatic hemangioma
