肺硬化性血管瘤的CT诊断  

CT Diagnosis of Pulmonary Sclerosing Hemangioma

作　　者：陈文辉[1] 杨丽琴[2] 张德钧[3] 杨光钊[3] 

机构地区：[1]浙江大学医学院附属第二医院放射科研究生,浙江杭州310009 [2]建德市第一人民医院放射科 [3]浙江大学医学院附属第二医院放射科

出　　处：《实用放射学杂志》2004年第9期784-786,共3页Journal of Practical Radiology

摘　　要：目的　分析肺硬化性血管瘤 (PSH)的CT表现 ,提高诊断的准确性。方法　回顾性分析 5例经手术或穿刺活检病理证实的PSHCT表现。结果　 5例CT表现均为肺内孤立结节 ,边缘清楚。 4例密度均匀、边缘光整 ,1例结节内有空洞形成 ,边界欠光整。增强后均有均匀强化 ,且强化程度与周围血管相仿。病灶与周围血管关系密切。Objective To investigate the CT manifestations of pulmonary sclerosing hemangioma (PSH), and improve the CT diagnostic accuracy of the disease.Methods The CT manifestations of 5 cases with pulmonary sclerosing hemangioma which were proved by pathology were analyzed retrospectively. Results Solitary pulmonary nodule was demonstrated in all 5 cases with clear demarcation on CT. The nodule was smooth and homogeneous in density in 4 cases, and was slightly irregular with cavity in another case. After intravenous contrast administration, all the lesions were homogeneously enhanced, similar to the nearby blood vessels. The vessels linked with the lesions were found generally.Conclusion The CT is helpful for the diagnosis of PSH.

关 键 词：肺硬化性血管瘤 CT检查 诊断 增强扫描 误诊 

分 类 号：R734.2[医药卫生—肿瘤] R730.44[医药卫生—临床医学]