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CT增强扫描诊断早期细菌性肝脓肿 被引量:19

Enhanced CT Scanning in Diagnosis of Early Pyogenic Hepatic Abscess
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摘要 目的:探讨早期细菌性肝脓肿的CT平扫及增强扫描的特点,提高其CT诊断水平。材料和方法:回顾性分析16例经临床治疗、CT随访或穿刺病理证实为细菌性肝脓肿的CT平扫和增强扫描的影像表现。结果:早期细菌性肝脓肿CT平扫时表现为均匀或不均匀肝内低密度块影;增强扫描表现为病灶明显增强,且持续时间可达3~7min,其中,肿块缩小征12例,双环征5例,“簇状征”4例,“花瓣征”4例和一过性增强征3例。结论:CT增强扫描对早期细菌性肝脓肿有较高的诊断价值。 Purpose: To study plain and enhanced CT appearances of the early pyogenic hepatic abscess and improve the accuracy of CT diagnosis. Materials and Methods: The features of the piain and enhanced CT scanning were analyzed retrospectively in 16 cases with pyogenic hepatic abscess proved clinically through CT following up or biopsy. Results: Plain CT scanning appeared the lesions as a homogeneous or inhomogeneous hypodense mass, and enhanced CT scanning appeared them with obvious hyperdense enhancement and prolonged 3 - 7 minutes. Of them, there were "diminished mass sign" ( n = 12), "doubling sign" ( n = 5 ), "cluster sign" ( n = 4), "rosette sign" ( n = 4) , "transient enhancement sign" (n = 3 ). Conclusion: A enhanced CT scanning is very helpful in the diagnosing of early pyogenic hepatic abscess.
出处 《中国医学影像学杂志》 CSCD 2006年第2期112-115,共4页 Chinese Journal of Medical Imaging
关键词 肝脏 脓肿 CT liver abscess CT
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