肝细胞腺瘤的CT诊断与鉴别诊断的临床分析  

Clinical analysis of CT diagnosis and differential diagnosis of livercell adenoma

作　　者：孙国超[1] 杨书峥[1] 杨有万[1] 

机构地区：[1]山东省滨州市中心医院放射科,251700

出　　处：《中国实用医刊》2015年第13期62-63,共2页Chinese Journal of Practical Medicine

摘　　要：目的研究肝细胞腺瘤用CT诊断与鉴别诊断的临床价值。方法回顾性分析临床上确诊的12例肝细胞腺瘤的增强三期与CT平扫的结果。结果肝左叶经CT平扫单发低密度病灶与多发低密度病灶分别为3例、2例，肝右叶单发低密度病灶及多发低密度病灶分别为5例、2例；单发低密度病灶经CT增强，动、静脉期均匀强化明显，延迟期对比剂淡出显著；多发低密度病灶经CT增强，静脉期均匀强化明显，延迟期对比剂未见明显淡出。结论大部分肝细胞腺瘤经CT扫描能得到重要信息，可作为定性诊断的参考，若表现不典型应结合临床等加强检查，进一步诊断。Objective To investigate the predictive value of CT and differential diagnosis in the diagnosis of liver cell adenoma. Methods CT scan images of 12 cases that were confirmed as liver cell adenoma by pathological examination were retrospectively analyzed. Results There were respectively 3 cases and 2 cases in the left lobe of liver lesions by CT scan multiple low density lesions with low density, and the right were 5 cases and 2 cases. Single low density lesions en- hanced by CT, and static and homogeneous phase showed obvious enhancement on arterial, and delayed phase contrast fa- ded significantly. The muhiple low density lesions also enhanced by CT, static phase showed bvious enhancement on arteri- al, and delayed phase contrast did not significantly faded. Conclusions CT images of most liver cell adenoma cases can show meaningful information of the lesions and thus can help to make diagnosis. As for cases with atypical symptoms, other clinical examination should be considered.

关 键 词：肝细胞腺瘤 CT诊断 鉴别诊断 

分 类 号：R735.7[医药卫生—肿瘤]