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SPECT肝脏血池显像对肝血管瘤的诊断价值
引用本文:陶新全,袁超,刘恒超,周翔. SPECT肝脏血池显像对肝血管瘤的诊断价值[J]. 蚌埠医学院学报, 2005, 30(2): 163-164
作者姓名:陶新全  袁超  刘恒超  周翔
作者单位:蚌埠医学院附属医院核医学科, 安徽蚌埠 233004
摘    要:目的: 探讨肝脏血池单光发射型计算机断层(single-photon emission computed tomog raphy,SPECT)诊断肝血管瘤的价值。方法: 对22例临床怀疑为肝脏血管瘤的患者,瘤体直径1.5~9.1 cm,行肝实质和血池SPECT,诊断结果与病理、临床和放射学随访结果进行比较。结果: 22例肝占位性病变患者中18例诊断为肝血管瘤,12例经手术后病理检查确诊为肝血管瘤,6例经长期临床、放射学和血清肿瘤标志物随访2~3年确定。在排除肝血管瘤的4例患者中,手术后病理诊断3例肝细胞癌和1例肝囊肿。结论: 肝脏血池SPECT对诊断肝血管瘤具有较高的灵敏度和特异性,可以用于鉴别肝脏占位性病变。

关 键 词:肝肿瘤   血管瘤   断层摄影术  发射型计算机  单光子   血池显像
文章编号:1000-2200(2005)02-0163-02
收稿时间:2004-08-19
修稿时间:2004-08-19

Value of liver blood pool SPECT in diagnosis of hepatic hemangioma
TAO Xin-quan,YUAN Chao,LIU Heng-chao,ZHOU Xiang. Value of liver blood pool SPECT in diagnosis of hepatic hemangioma[J]. Journal of Bengbu Medical College, 2005, 30(2): 163-164
Authors:TAO Xin-quan  YUAN Chao  LIU Heng-chao  ZHOU Xiang
Affiliation:Department of Nuclear Medicine, Affiliated Hospital of Bengbu Medical College, Bengbu 233004, China
Abstract:Objective:To discuss the value of liver blood pool SPECT in diagnosis of hepatic hemangioma.Methods:Twenty-two patients with clinically suspected hepatic hemangioma 1.5-9.1 cm in diameter were examined by hepatic conventional and blood pool SPECT and the results were compared with the histology and radiolgy outcome.Results:Of the 22 cases clinically suspected hepatic hemangioma,18 were diagnosed as hepatic hemangioma by SPECT,which were verified by pathological test (n=12),and clinical,radiological and serum tumor makers follow-up lasting for 2-3 years(n=6).In the other 4 cases,3 were proved hepatogenic cancers and 1 liver cyst by pathology.Conclusions:The liver blood pool SPECT is sensitive and specific in diagnosis of hepatic hemangiomas,and can be used to differentiate benign lesion from malignant lesion.
Keywords:liver neoplasms  hemangioma  tomography  emission computed  single-photon  blood pool imaging
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