摘要
目的:分析不典型肝脓肿的CT表现,提高对肝脓肿的诊断水平。材料与方法:回顾分析经临床病理证实的30例不典型肝脓肿的CT平扫及三期强化特点,并与肝癌、肝转移瘤、肝血管瘤等对照分析。结果:按照肝脓肿病变发展阶段不同,不典型肝脓肿可分为早期肝脓肿(25例,有两种表现形式:小房腔性和团块状肝脓肿),和纤维肉芽肿性肝脓肿(5例)。结论:不典型肝脓肿在不同病理演变时期其CT平扫表现不同,动态三期强化扫描有助于提高诊断符合率。
Purpose:To analyze the CT features of atypical pyogenic hepatic abscess and improve the accuracy of CT diagnosis.Materials and Methods:The plain CT and 3-phase CE scanning findings of 30 cases of atypical pyogenic hepatic abscess proved by surgery or other clinical methods were retrospectively analyzed and compared with CT findings of hepatic carcinoma、 hepatic metastases and hepatic hemangiomas.Results:The CT features of hepatic abscess were divided into two types according to different stages of pathology.Early pyogenic hepatic abscess(25 cases)has two types,small cavity and mass,granulomatous hepatic abscess(5 cases).Conclusion:The findings of liver abscesses result from individual differences of pathologic changes,3-phase contrast enhancing scanning is specific in diagnosing atypical pyogenic hepatic abscess.
出处
《现代医用影像学》
2010年第2期96-99,共4页
Modern Medical Imageology