摘要
目的:对比多层螺旋计算机断层扫描(CT)增强扫描与磁共振成像(MRI)动态增强扫描在肝血管瘤中的诊断价值。方法:回顾性选取2019年1月—2022年12月无锡市人民医院收治的102例疑似肝血管瘤患者的资料。所有患者均进行多层螺旋CT增强扫描及MRI动态增强扫描,手术病理检查。统计病理检查结果,以病理检查为金标准,分析两种检查方法诊断结果。比较两种检查方法对肝血管瘤的诊断价值。分析肝血管瘤患者两种检查方法影像学特征。结果:102例疑似肝血管瘤患者,经临床病理检查为肝血管瘤患者共40例,其他患者共62例。多层螺旋CT增强扫描诊断正确肝血管瘤患者35例,其他49例,诊断准确率为82.35%(84/102);MRI动态增强扫描诊断正确肝血管瘤患者36例,其他50例,诊断准确率为84.31(86/102)。多层螺旋CT增强扫描诊断肝血管瘤的敏感度、特异度分别为87.50%、79.03%;MRI动态增强扫描诊断肝血管瘤的敏感度、特异度分别为90.00%、80.65%。多层螺旋CT增强扫描发现40例肝血管瘤患者中,在动脉期检出病灶30例,其中14例病灶均匀强化,16例病灶不均匀强化,表现不规则形或边缘环形;在门静脉期及延迟期均未出现明显强化10例。MRI动态增强扫描发现40例肝血管瘤患者中,在动脉期检出病灶31例,均出现不均匀强化,表现为不规则形或边缘环形,强化模式为慢进慢出型,9例在门静脉期及延迟期未出现明显强化。结论:多层螺旋CT增强扫描与MRI动态增强扫描在肝血管瘤诊断中具有一定的价值。
Objective:To compare the diagnostic value of multi-slice spiral computed tomography(CT)enhancement scan and magnetic resonance imaging(MRI)dynamic enhancement scan in hepatic hemangioma.Method:Date of 102 patients with suspected hepatic hemangioma treated in Wuxi People's Hospital from January 2019 to December 2022 were selected.All patients underwent multislice spiral CT enhancement scan and MRI dynamic enhancement scan,and surgery pathological examination.The results of pathological examination were counted,and the diagnostic results of the two examination methods were analyzed with pathological examination as the gold standard.The diagnostic value of the two examination methods in hepatic hemangioma was compared.The imaging features of patients with hepatic hemangioma in the two examination methods were analyzed.Result:Among 102 patients with suspected hepatic hemangioma,40 cases were found to be hepatic hemangioma by clinicopathological examination,and 62 cases were found to be other patients;35 patients with hepatic hemangioma correctly diagnosed by multi-slice spiral CT enhancement scan,and 49 others,the diagnosis accuracy rate was 82.35%(84/102).MRI dynamic enhancement scan correctly diagnosed 36 patients with hepatic hemangioma and 50 others,with diagnosis accuracy rate was 84.31%(86/102).The sensitivity and specificity of multi-slice spiral CT enhancement scan in the diagnosis of hepatic hemangioma were 87.50%and 79.03%respectively.The sensitivity and specificity of MRI dynamic enhancement scan in the diagnosis of hepatic hemangioma were 90.00%and 80.65%respectively.In 40 patients with hepatic hemangioma by multi-slice spiral CT enhancement,30 focus were detected in arterial stage scan,of which 14 focus were uniformly enhanced and 16 focus were unevenly enhanced,showing irregular or annular edges.There was no obvious enhancement in the portal vein stage and the delayed stage in 10 cases.In the 40 patients with hepatic hemangioma by the MRI dynamic enhancement scan,31 focus were detected in the arterial stage,all of which showed uneven enhancement,showing irregular type or annular edge,and the enhancement mode was slow in and slow out,9 cases did not show significant enhancement in the portal vein stage and delayed stage.Conclusion:Multi-slice spiral CT enhancement scan and MRI dynamic enhancement scan are valuable in the diagnosis of hepatic hemangioma.
作者
吴明玉
胡为俊
陆东海
WU Mingyu;HU Weijun;LU Donghai(Wuxi People's Hospital,Wuxi 214023,China;不详)
出处
《中外医学研究》
2023年第20期67-70,共4页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
敏感度
特异度
肝血管瘤
多层螺旋计算机断层扫描
磁共振成像
动态增强扫描
Sensitivity
Specificity
Hepatic hemangioma
Multi-slice spiral computed tomography
Magnetic resonance imaging
Dynamic enhancement scan
