螺旋CT多期增强扫描对肝局灶性结节性增生诊断价值.docVIP

螺旋CT多期增强扫描对肝局灶性结节性增生诊断价值【摘要】 目的 探讨肝局灶性结节性增生(focal nodular hyperplasia FNH)的螺旋CT表现特点。方法 经手术切除病理证实为肝局灶性结节性增生12例患者,术前均行螺旋CT平扫及动态增强扫描。结果 12例FNH病灶均呈单发结节或分叶状肿块,肿瘤直径2.1～7.5 cm,平均4.7 cm。平扫呈等或略低密度,其中8例病灶中央有星芒状更低密度区,4例病灶直径平均大于5.2 cm。动态增强扫描,动脉期10例病灶明显强化,密度高于肝实质,2例轻度强化,病灶中央更低密度区均无强化;静脉期期病灶密度稍有下降,9例等于或略高于肝实质,3例低于肝实质;延迟期病灶密度进一步下降,7例等于或略高于肝实质,5例低于肝实质,7例显示中央斑痕,6例延迟强化。结论 典型FNH CT平扫为低密度,增强扫描以“快进慢出”为主要特点,其中央星状斑痕为其主要影像学特点,螺旋CT增强显示中央斑痕征是诊断FNH重要征象。 【关键词】 肝局灶性结节性增生;肝肿瘤;体层摄影术;X线计算机 Value of mullt-time spiral CT contrast scanning in Diagnosis of hepatic focal nodular hyperplasia ZHOU Chang-gu,YU Yong-qing,Huaping,et al The People’shospital of Linshui county,Sihuan Province.1inshui 638500,China 【Abstract】 Objective To evaluate the spiral CT manifestations of focal nodular hyperplasia(FNH)of liver.Methods 12 eases of pathologically proven FNH underwent triple phase spiral CT scan.Results All patients had a solitary.globular,lobulated mass,the majority of cases was approximately2.1-7.5 cmin diameter.On unenhanced CT,focal nodular hyperplasia is classically seen as a solitary,homogeneous,and slightly hypoattenuafing area compared with normal liver.On the arterial phase scan,mark and homogenous enhance were seen in all but 2 lesion whieh was moderate enhanced without enhancement of the central sear.On the portal venous phase scans,focal density were decreased,but still showing hyperdense or isodense relative to normal liver in 9 lesions.On the delay phase seans,7 of 12 lesions were slightly hyperdeuse or isodense,5 of 12 were hypodense.7 cases showed enhancement of the central sear during delayed phases,6 cases showed delayed enhancement At histologic analysis.Conclusion FNH is presented hypodense on pre-contrase,and obvious enhancement in the early arterial phase,and enhancement of the central sear in delay phase.these characteristicsof different imaging are useful for diagnosing FNH of the liver. 【Key words】 Hepatic focal nodular hyperplasia; Hepatic tumor; Tomography; X-ray com