螺旋CT三期增强扫描在肝血管瘤诊断中价值分析.docVIP

螺旋CT三期增强扫描在肝血管瘤诊断中价值分析 　 作者：裴生俭，孙康，李卫东，张金水 【摘要】 目的：探讨螺旋CT三期增强扫描在肝血管瘤中的影像特点及诊断价值。方法：搜集46例肝血管瘤患者在螺旋CT平扫后进行螺旋CT三期增强扫描的资料。扫描范围为全肝；层厚为5 mm~8 mm,pitch=1.2，对比剂为优维显(300 mgI/ml)，采用单相期团注法注入剂量为80 ml~100 ml，流速2.5 ml/s~3.5 ml/s。延迟时间：动脉期（HAP）延迟25 s~30 s、门静脉期（PVP）延迟65 s~70 s、延迟期延迟3 min~10 min。结果： 动脉期强化病灶49个(84.5%)，门脉期对比剂逐渐向病灶中心充填，9个无明显强化病灶开始强化。延迟扫描见造影剂进一步向病灶中心填充, 48个病灶(82.6%)完全填充为等密度,其余10个(17.2%)病灶部分充填。结论： 肝血管瘤螺旋CT三期增强的各期大多数有典型特点，在诊断及鉴别诊断中具有重要的价值。 【关键词】 螺旋CT三期增强扫描；肝血管瘤；价值分析 　　The Value of 3phase Contrastenhanced Spiral CT Scanning in Diagnosing Hepatic Hemangioma 　 Abstract:Objective To investigate the imaging features of 3phase contrastenhanced spiral CT scanning and the value of diagnosis in hepatic hemangioma. Methods 50 cases of hepatic hemangioma scanned by 3phase contrastenhanced spiral CT after common scan . Scan region: whole hepatic, thickness 5 mm~8 mm, p=1.2; all used single phase to inject Ultravist (300 mgI/l) 80 ml~100 ml, injected rate 2.5 ml/s~3.5 ml/s.delayed time: hepatic arterial phase,25 s~30 s,portal venous phase,65 s~70 s,delayed phase 3 min~10 min. Results 49/58(84.5%) of hepatic hemangiomas had potentialization at hepatic arterial phase (HAP), and centripetal oriented enlargement of the regions at portal venous phase (PVP), 9 hepatic hemangiomas begin potentialization. In delayed phase, 48/58(82.6%) of the hepatic hemangiomas showed completely homogenenous patentialization or isodensity filling, others 10/58(17.2%) presented part filling. Conclusion majority hepatic hemangiomas have typical exhibition in 3phase contrastenhanced spiral CT scanning，and the 3phase contrastenhanced spiral CT scanning has an important value for the diagnosis of hepatic hemangiomas and compare with primary liver cancer. Key word：3phase contrastenhanced spiral C；Thepatic hemangioma；Value analysis 肝血管瘤为肝脏的最常见良性肿瘤,正确认识本病的CT表现,有助于与肝脏内其他病变,尤其是与肝癌的鉴别诊断。我院自2002年12月至2006年10月对46例肝血管瘤患者行螺旋CT普通扫描加三期增强扫描，现就三期扫描在肝血管瘤诊断中的扫描方法、影像特点及应用价值进行探讨,报告如下。 　　1 资料与方法 　　1.1 一般资料 　　46例肝血管瘤患