CT和B超诊断肝血管瘤的影像学征象分析.docVIP

精品论文 参考文献 CT和B超诊断肝血管瘤的影像学征象分析 山东省寿光市人民医院 262700 摘要：目的 探讨、分析肝血管瘤的多层螺旋CT和B超影像学表现；方法　选择、收集我院经CT和B超检查诊断为肝血管瘤的患者96例，并对两种检查影像学征象进行对比分析；结果　肝血管瘤CT平扫为境界清楚，密度均匀的圆形或卵圆形低密度影，部分较大病灶中央可见星形或不规则更低密度区；增强扫描动脉期边缘结节样或中心强化，强化区进行性向中央扩展，延迟扫描病灶呈等密度填充，较大病灶中央可见始终不填充区同平扫；B超检查：病灶直径lt;3.0cm的肝血管瘤，声像图表现为均匀强回声，边界清晰、锐利，呈浮雕样，周边无声晕，后方无声影；病灶gt;3.0cm的肝血管瘤，多数呈强回声，表现为形态不规整、边界清晰、无声影及声晕；少数呈低回声；结论　应用多层螺旋CT诊断肝血管瘤可发现动脉期的典型征象并不受呼吸影响，且不遗漏病灶，诊断准确率很高，是最佳、最有效、可确诊的方法；而肝血管瘤行B超检查，则具有无伤、无痛、价廉、快速等优点，并且正确率极高，应为诊断肝血管瘤的首选检查方法。 关键词：肝血管瘤；CT扫描；B超检查；影像学征象 【Summary】purpose study，analyze super image of many spiral CTs and B of liver afferent lump to learn performance；Method choice，collect my hospital through the CT and the B the super check diagnosis be 96 for the sufferer of liver afferent lump，and learn to advertise for elephant to carry on contrast to two kinds of check images analysis；Result liver the afferent lump CT Be even to sweep to know for state，density even circular or egg circular the low density copy，the part bigger focus the center it is thus clear that star polygon or irregular and much lower density area；Strengthen to scan artery to expect the edge knot stanza kind or center to enhance，enhance area to carry on aptitude the center to expand，delay to scan a focus to present to wait density to fill，bigger focus the center it is thus clear that always dont fill area together even sweep；B super check：Focus diameterlt;the liver of the 3.0 cms afferent lump，voice the being like chart copy for even strong echo，boundary being clear，sharp-edged，presenting ectype kind，periphery having no voice dizzy，rear having no voice now；Focusgt;the liver of the 3.0 cms afferent lump，majority present strong echo，the performance is an appearance the rules isnt whole，clear boundary，have no voice the shadow and voice is dizzy；The minority present to loiter a voice；The conclusion applies many spiral CT diagnosis liver the afferent lump can discover that the typical model that the artery expects advertises for elephant and be free from br