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肝血池显像在肝内血管瘤和肝癌诊断及鉴别诊断中的价值
摘    要:采用肝血池显像的方法对59例肝血管瘤和9例肝癌病人进行了检查,并与B型超声波、X线CT检查进行了比较。结果表明,肝血池显像诊断肝血管瘤的准确率为96.9%,CT为65.6%,B型超声波为43.8%,肝血池显像诊断肝血管瘤的准确率明显高于B型超声波和CT2种方法,差异均有极显著意义(P<0.01)。9例肝癌病人,8例病人肝血池图像显示病灶区无明显放射性填充,1例部分病灶区轻度填充。提示肝血池显像是一种较好的肝血管瘤和肝癌的鉴别诊断方法。

关 键 词:肝肿瘤;放射性核素成像;诊断.鉴别

COMPARATIVE STUDY OF SEVERAL METHODS OF DIAGNOSIS OF HEPATIC HEMANGIOMA AND HCC
Zuo Shuyao,Wang Guoming,Sun Jianwen,et al. COMPARATIVE STUDY OF SEVERAL METHODS OF DIAGNOSIS OF HEPATIC HEMANGIOMA AND HCC[J]. Acta Academiae Medicinae Qingdao Universitatis, 1994, 0(4)
Authors:Zuo Shuyao  Wang Guoming  Sun Jianwen  et al
Affiliation:Department of Nuclear Medicine
Abstract:Blood-pool imaging was employed in the diagnosis of 59 cases of hepatic mehangiorna and 9 cases of hepatic carcinoma and compared with such methods as X-ray CT and B ultrasound.The accuracy by the first method was 96.9%,in contrast with the 65.6% and 43.8% by X-ray CT and B ultrasound respectively.There were significant differences among the three methods(P<0.01).Out of 9 cases of HCC who were diagnosed by blood-pool imaging,8 cases had not radioactivity filled,1 case has partial focus radioactivity filled.The results show that blood-pool imaging was a better method in differential diagnosis of HCC and hepatic hemangioman.
Keywords:radionuclide imaging  hepatic tumor  diagnosis differential  
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