幼儿肝脏间叶性错构瘤的CT表现及肿瘤实性成分与AFP相关性分析  

CT findings of hepatic mesenchymal hamartoma in children and the correlation analysis between the tumor and AFP

作　　者：方朋 杨中杰[1] 高敬平[1] FANG Peng;YANG Zhongjie;GAO Jingping(Department of Radiology,He＇nan Province Hospital of Traditional Chinese Medicine,Zhengzhou 450002,China)

机构地区：[1]河南省中医院放射科,河南郑州450002

出　　处：《实用放射学杂志》2018年第10期1584-1587,共4页Journal of Practical Radiology

摘　　要：目的 总结肝脏间叶性错构瘤（HMH）的CT表现；分析肿瘤与甲胎蛋白（AFP）之间是否具有相关性。方法 回顾性分析本院收治的4例HMH病例的CT表现；另收集近10年文献中的HMH病例共58例，用相关性分析方法分析其与AFP的相关性，并进一步分析肿块中实性成分所占比例＞1/2的肿瘤与AFP阴阳性的相关性。结果 4例HMH的CT表现均为囊实性肿块，2例实性为主，2例囊性为主，较大的囊内有分隔，增强实性成分中度至明显渐进性强化。HMH与AFP相关性分析结果χ2＝27.15，相关系数r=0.44。实性为主性肿块与AFP阴阳性的相关性结果χ2＝0.498。结论 HMH的CT表现为肝脏囊实性的巨大肿块；HMH与AFP间存在着关联，实性成分为主的肿块与AFP并无关联。：Objective To investigate the CT features of hepatic mesenchymal hamartoma （HMH） in children, and to explore the correlation between the HMH and AFP.Methods The CT findings of 4 children with HMH in our hospital were analyzed retrospectively. Correlation analysis was used to explore the relationship between AFP and HMH in 58 cases. Furthermore, the correlation between the tumour with more than half solid component and the AFP was explored. Results On CT, 4 were cystic-solid masses, 2 were mainly composed by solid component and the other 2 were mainly cystic. The large cysts were separated. On dynamic enhanced CT, the solid component and the septa of the mass showed mild to moderate progressive enhancement. The correlation between HMH and AFP was found （χ2 = 27.15, r = 0.44）. However, the correlation was not showed between lesion with more solid component and AFP. Conclusion HMH is a kind of cystic solid mass on CT, and it is correlated with the AFP.There is no relation of the tumors with more solid component and the AFP.

关 键 词：肝脏间叶性错构瘤 计算机体层成像 

分 类 号：R735.7[医药卫生—肿瘤] R814.42[医药卫生—临床医学]