肝血管瘤的影像学诊断(附35例报告)IMAGING DIAGNOSIS OF HEPATIC HEMANGIOMA (Report of 35 Cases)
崔忠邦;韩希年;卢萍;陈霞;
Cui Zhongbang,et al Department of Radiology
摘要(Abstract)：
本文总结了影像学综合检查方法,对35例肝血管瘤的有效诊断。其中肝动脉造影13例,可见血管瘤球呈棉团状、环状、C 型高密度充盈、显影早消影慢,呈所谓“早出晚归”征象。CT 扫描8例,显示肝内低密度病灶,当增强后消失,或呈向心性内聚强化带的表现。B 超检查33例,显示大部份病灶小,呈回声增强,内部均质规则,边缘锐利等典型特征。
A satisfactory result was obtained in diagnosing 35 patients with hepatic hemangioma by imaging examinations,which including ultrasound,computed tomography(CT)and arteriography.There were imaging chara(?)teristics o le- sions in 13 cases,8 cases and 33 cases on angiograms,CT and sonograms res- pectively.They were early opacification with cotton-wool and/or C-shape and late disappearance on angiograms,early peripheral enhancement of the lesion and delayed central opacification and persistence of contrast enhancement on CT,and on sonograms,a hyperechoic,sharply marginated mass having a ho- mogenous internal pattern.Among these methods,the authors consider, Sound is the most practicable one because of its convenience,economy and no harm.Using ultrasound and combined with AFP assay,periodic follow-up,and if necessary,CT and/or angiography,the most of hepatic hemangioma could be accurately diagnosed.And it is easier to differentiate this disease from he- patic carcinoma.
关键词(KeyWords)：
血管瘤;肝;影像学诊断;超声学
Hemangioma Liver;Imaging diagnosis;Ultrasonics
基金项目(Foundation):
作者(Author):
崔忠邦;韩希年;卢萍;陈霞;
Cui Zhongbang,et al Department of Radiology
Email:
DOI: 10.19367/j.cnki.1000-2707.1988.02.045
参考文献(References)：
- 1． 叶维法,主编.临床肝胆病学.第一版.天津:天津科学技术出版社,1985:837～838．
- 2． Ricci OE,et al.Diagnostic approach to hepatic hemangiomas detected by ultrasound.Hepatogastroenterol 1985;32:53．
- 3． 李果珍,主编.临床体部 CT 诊断学.第一版.北京:人民出版社,1985:97～100．
- 4． 贾雨辰.等.肝海绵状血管瘤的影像对比研究。中华放射杂志1986;20:321。
- 5． 王全华,等.肝海绵状血管病的超声显象诊断.中国医学影像技术1986;2:47～49．
- 6． 乐桂蓉,等.肝血管病的实时超声表现。中国超声医学杂志1986;2:85．
- 7． 张武,等.肝脏血管病的实时超声表 现.中国医学影像技术1986;2:38．
- 8． Takayasu K,et al.Atypical radiographic findings of hepatic cavernous hemangioma:correlation with histologic features.AJR 1986;146:1149．
文章评论(Comment)：
|
||||||||||||||||||
|
||||||||||||||||||