丁汇清,卢同贵,徐崇开,汪长胜,张群,杨立民,孙志先,赵华北,孙咏梅.肝血管瘤螺旋CT新征象的初步研究[J].中国医学影像技术,2003,19(6):705~707 |
肝血管瘤螺旋CT新征象的初步研究 |
Primary Study of the New Signs of Spiral CT in Hepatic Hemangioma |
投稿时间:2002-09-08 |
DOI: |
中文关键词: 肝 血管瘤 高灌注区 门脉分支早显 螺旋CT |
英文关键词:Liver Hemangioma Hyper-infusion area Early display of the portal venous branch Spiral CT |
基金项目:江苏省连云港市科研项目(SH0211)。 |
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中文摘要: |
目的 探讨肝血管瘤的螺旋CT新征象及其发生原因。 方法 报道36例肝血管瘤共51个瘤灶,均作螺旋CT多期扫描。 结果 在动脉期:①36例中8例出现瘤周肝实质高灌注区14处;②9例肝血管瘤中出现19支门脉早显。 三期螺旋CT扫描中出现瘤周肝实质高灌注区和早显门脉分支的密度变化均有非常显著差异(P<0.01);这两个征象的发生率呈正相关(r=0.8016,P<0.05)。 结论 肝血管瘤这两个新征象的病理学基础可能是因瘤体内存在着不同水平的动门静脉瘘和分流等所致。 |
英文摘要: |
Objective To study the new signs of spiral CT (SCT) in the hepatic hemangioma (HH) and its causes. Methods Thirty-six patients with 51 lesions underwent examination with the multi-phases of SCT scanning (arterial phase-AP, portal venous phase-PVP, and delayed phase-DP). Results In the arteral phase:① 8 cases of the 36 patients appeared as the hyper-infusion area (HIA) (n=14 focuses), ② 9 cases of 36 patients presented the early displayed of the portal venous branches (EDPVB) (n=19 branches); these changes of enhancement of HIA and EDPVB among the three phases had statistitical difference (P<0.01), respectively. The occurring rate of two signs between HIA and EDPVB had a positive correlative (r=0.8016, P<0.05) in AP. Conclusion The pathologic foundations of the two new SCT signs may be caused by the arterio-portal venous fistula (AV-F)/arterio-portal venous shunting (AV-S) at different level in the HH. |
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