螺旋CT在肝脏肿瘤鉴别诊断中的应用价值  

The clinical value of spiral CT in the diagnosis of liver tumors

作　　者：何敬[1] 李国晖[1] 杨燕[1] 郑继坤[1] 何菱[1] 

机构地区：[1]云南中医学院第一附属医院放射科,云南昆明650021

出　　处：《湖南中医药大学学报》2013年第4期75-76,共2页Journal of Hunan University of Chinese Medicine

摘　　要：目的探讨64排螺旋CT多期扫描在肝脏肿瘤鉴别诊断中的临床意义,以期降低误诊率。方法对我院2011年10月～2012年10月收治的120例肝脏肿瘤及肿瘤样病变的患者采用64排螺旋CT进行诊断和分析,分析肝脏肿瘤及肿瘤样病变的发生数量,观察螺旋CT 3期增强扫描的表现。结果 45例肝血管瘤中,表现典型率为91.1%;33例原发性肝癌中,表现典型率为78.8%;28例肝转移中,表现典型率为96.4%;7例肝脏局灶性结节增生中表现典型率为71.4%;7例肝脓肿患者中,表现典型率为85.7%。结论使用64排螺旋CT对大多数的肝脏肿瘤及肝瘤样病变能够准确地进行鉴别诊断,具有临床意义。Objective To investigate the clinical significance of 64-slice spiral CT multi-phase scan in distinguish and diagnosis for liver tumors and reduce the rate of misdiagnosis. Methods 120 patients with liver tumors and tumor-like lesions received in our hospital from Feb 2010 to Apr 2012 were treated with 64-slice spiral CT for diagnosis and analysis, analyzed the number of occurrence liver tumors and tumor-like lesions, and observed the performance by spiral CT three enhanced scanning. Results Performance typical rate was 91.1% in 45 cases of hepatic hemangioma, 78.8% in 33 patients with primary liver cancer, 96,4% in 28 cases of liver metastases, 71.4% in 7 cases of hepatic focal nodular hyperplasia, and 85.7% in 7 cases of liver abscess patients. Conclusion Using 64-slice spiral CT could accurately distinguish and diagnosis most liver tumors and liver tumor-like lesions, and worth for clinical promotion.

关 键 词：螺旋CT 肝脏肿瘤 临床诊断 

分 类 号：R735.7[医药卫生—肿瘤]