多层螺旋CT扫描在胸膜孤立性纤维瘤中的临床应用价值  

Clinical Value of Multi-slice Spiral CT Scanning in Isolated Pleural Fibroma

作　　者：张雨 钱伟军 赵文 谷一冰 ZHANG Yu;QIAN Wei-jun;ZHAO Wen;GU Yi-bing(Department of Imaging,Kaifeng Central Hospital,Kaifeng 475000,Henan Province,China)

机构地区：[1]开封市中心医院影像科,河南开封475000

出　　处：《罕少疾病杂志》2024年第8期57-59,共3页Journal of Rare and Uncommon Diseases

摘　　要：目的探讨多层螺旋CT(MSCT)扫描在胸膜孤立性纤维瘤(SFPT)中的临床应用价值,以提高临床对该病诊断率。方法选择我院自2018年5月-2023年5月经穿刺活检或手术证实的19例胸膜孤立性纤维瘤的临床资料及MSCT资料为研究对象,分析其CT特征。结果本研究组19例病灶均为单发,位于右侧11例,左侧8例。病灶最大径为1.2~17.5cm,平均(8.5±6.4)cm,8例病灶直径<5.0cm,11例病灶>10.0cm,7例类圆形,边缘光滑,12例形态不规则,边缘浅分叶。19例患者均行MSCT平扫+增强检查,5例CT平扫呈稍低密度,7例呈等密度,7例呈混杂密度(单纯坏死3例,钙化和坏死混合存在者4例)。增强扫描:8例病灶强化均匀,11例病灶强化不均匀;7例动脉期不均匀轻度强化,静脉期及延迟期持续中度-明显均匀强化;11例动脉期病灶呈轻-中度不均匀强化,静脉及延迟期:病灶呈持续渐进性强化;1例动脉期病灶斑片状明显强化,与动脉期比较静脉及延迟期病灶强化程度较前降低。结论MSCT检查在胸膜孤立性纤维瘤中的临床应用价值较高,应用三维技术能清晰的显示膜孤立性纤维瘤的来源、形态、大小及周围组织关系,并根据胸膜孤立性纤维瘤的CT特征对术前诊断及治疗很有价值。Objective To investigate the clinical application value of multi-slice spiral CT(MSCT)scanning in isolated pleural fibroma(SFPT),so as to improve the clinical diagnosis rate of this disease.Methods The clinical data and MSCT data of 19 cases of solitary pleural fibroma confirmed by menstrual biopsy or operation in our hospital from May 2018 to May 2023 were selected as the study objects,and their CT features were analyzed.Results In this study group,all 19 lesions were single,with 11 on the right side and 8 on the left side.The maximum diameter of the lesions ranged from 1.2 to 17.5cm,with an average of(8.5±6.4)cm.8 cases were<5.0cm in diameter,11 cases were>10.0cm,7 cases were circular with smooth edges,and 12 cases were irregular with shallow lobed edges.All 19 patients underwent MSCT plain scan+enhanced examination,5 patients showed slightly low density on CT plain scan,7 patients showed equal density,and 7 patients showed mixed density(3 patients with simple necrosis,4 patients with mixed calcification and necrosis).Enhancement scan showed that 8 cases had uniform enhancement and 11 cases had uneven enhancement.7 cases had uneven mild enhancement in arterial phase,and sustained moderate to obvious uniform enhancement in venous phase and delayed phase.In 11 cases,the lesions in arterial stage showed mild to moderate uneven enhancement,and in venous and delayed stage,the lesions showed continuous progressive enhancement.In 1 case,the lesions in arterial stage were obviously enhanced,and the lesions in venous stage and delayed stage were less enhanced than before.Conclusion MSCT examination is of high clinical value in solitary pleural fibroma.Three-dimensional technology can clearly show the source,shape,size and surrounding tissue relationship of solitary pleural fibroma,and is of great value for preoperative diagnosis and treatment according to CT features of solitary pleural fibroma.

关 键 词：多层螺旋CT 胸膜孤立性纤维瘤 临床应用价值 

分 类 号：R734.3[医药卫生—肿瘤]