医学论文：肝局灶性结节增生的ct与mri应用价值.docVIP

【摘要】? 目的? 探讨肝局灶性结节增生的ct和mri表现，评价肝局灶性结节增生的诊断及 鉴别诊断价值。方法? 对16例经病理证实的16个肝局灶性结节增生病灶的ct及mri影像表现进行回顾性分析。结果? ct检查3例，mri检查5例，同时做了ct及mri检查8例。16例均为单发病灶，ct及mri均检出病灶,7例伴有中央瘢痕。ct平扫低密度10例，等密度1例，2例可见更低密度瘢痕。mri平扫10例t1wi呈稍低信号，3例t1wi呈等信号，13例t2wl均呈高或稍高信号，5例可见t1wi低信号、t2wl高信号瘢痕。所有病灶实质区动脉期均明显强化,4例瘢痕延迟强化。结论? ct及mri对肝局灶性结节增生的诊断有重要价值。【关键词】? 肝脏? 局灶性结节增生? 磁共振成像? x线计算机【abstract】 of ridiology ,lianjiang people’s hospital ,lianjinag,524400abstract objective: to evaluate the hepatic focal nodular hyperplasia of the ct, mri performance evaluation of hepatic focal nodular hyperplasia of the diagnosis and differential diagnosis. method: 16 patients with pathologically confirmed in 16 lesions of hepatic focal nodular hyperplasia of the performance of ct and mri images were reviewed retrospectively. results: ct examination in 3 cases, mri examination in 5 cases, while ct and mri examination done in 8 cases. 16 cases were single lesions, ct and mri lesions were detected in 7 cases with central scar. low density ct scan in 10 cases, such as density of 1 2 cases can be seen more low-density scar. t1wi mri scan showed a slightly lower signal in 10 cases, 3 cases showed t1wi signal, 13 patients showed high or slightly higher t2wl signal t1wi low signal seen in 5 cases, t2wl high signal scar. all lesions were significantly parenchyma in the arterial phase enhancement, delayed enhancement scar in 4 cases. conclusion: ct and mri on the diagnosis of hepatic focal nodular hyperplasia of great value.【key words】 liver? focal nodular hyperplasia? magnetic resonance imaging? x-ray computed??????? 肝局灶性结节增生(focal nodular hyperplasia，fnh)是肝脏较少见的良性肿瘤性病变，ct和mri表现有一定特征性，但无特异性。笔者收集本院2007-2010年经病理证实的16例fnh，以提高诊断及鉴别诊断水平，总结如下。??????? 1? 资料与方法??????? 1.1临床资料? 对16例经病理证实的16个fnh病灶的ct及mri影像表现进行回顾性分析，男性3例，女性13例，年龄14～55岁，平均年龄35岁，均为单发，15例为体检发现，1例因反复上腹痛1年余来检查发现。??????? 1.2检查方法? 3例行ct检查，5例行mri检查，8例同时做了ct和mri检查。使用ge 4排螺旋ct机和/ge 1.5t mri扫描。常规空腹仰卧，螺旋ct及mri层厚及间隔均为5mm，均行平扫及增强三期扫描。??????? 2? 结果? ??????? 11例病灶呈类圆形,5例病灶呈分叶状/不甚规则形，病灶