肝血管瘤的影像学诊断(附35例报告)

本文总结了影像学综合检查方法,对35例肝血管瘤的有效诊断。其中肝动脉造影13例,可见血管瘤球呈棉团状、环状、C 型高密度充盈、显影早消影慢,呈所谓“早出晚归”征象。CT 扫描8例,显示肝内低密度病灶,当增强后消失,或呈向心性内聚强化带的表现。B 超检查33例,显示大部份病灶小,呈回声增强,内部均质规则,边缘锐利等典型特征。

IMAGING DIAGNOSIS OF HEPATIC HEMANGIOMA (Report of 35 Cases)

A satisfactory result was obtained in diagnosing 35 patients with hepatic hemangioma by imaging examinations,which including ultrasound,computed tomography(CT)and arteriography.There were imaging chara(?)teristics o le- sions in 13 cases,8 cases and 33 cases on angiograms,CT and sonograms res- pectively.They were early opacification with cotton-wool and/or C-shape and late disappearance on angiograms,early peripheral enhancement of the lesion and delayed central opacification and persistence of contrast enhancement on CT,and on sonograms,a hyperechoic,sharply marginated mass having a ho- mogenous internal pattern.Among these methods,the authors consider, Sound is the most practicable one because of its convenience,economy and no harm.Using ultrasound and combined with AFP assay,periodic follow-up,and if necessary,CT and/or angiography,the most of hepatic hemangioma could be accurately diagnosed.And it is easier to differentiate this disease from he- patic carcinoma.