重庆医学2011，Vol.40Issue(22)：2223-2224,2226,3.DOI:10.3969/j.issn.1671-8348.2011.22.015
多层螺旋CT动态增强扫描对不典型肝脓肿的诊断价值
The diagnostic value of dynamic enhanced multi-slice spiral CT in atypical hepatic abscesses
马秀华 1吕富荣 2薛鹏 1皇甫幼田 1陈勇 1张斯佳1
作者信息
- 1. 郑州市人民医院放射科,450003
- 2. 重庆医科大学附属第一医院放射科,400016
- 折叠
摘要
Abstract
Objective To study the diagnostic value of dynamic enhanced multislice spiral CT in atypical hepatic abscess.Methods The plain CT and dynamic enhanced CT findings of atypical hepatic abscess were retrospectively analyzed in 48 cases confirmed by pathological or clinical examinations.Results Among 48 cases,17 cases were in the left lobe,25 cases in the right lobe,6cases in both left and right lobes.In plain CT all lesions showed homogeneous density or uneven lower hybrid density.In enhanced arterial phase,26 cases appeared a wedge or slice of transient hepatic parenchyma enhancement.In portal vein phase,9 cases showed bolus enhancement,and " halo sign" of 10 cases, "Grid sign" or "honeycomb sign" of 21 cases.In delay phase,the lesion area of 29cases became smaller compared with plain CT; 7 cases maintained enhancement of the atrial septum or beehive wall.Conclusion The dynamic enhanced multislice spiral CT scan is specific in the diagnosis of atypical hepatic abscess and plays an important role in differential diagnosis.关键词
肝脓肿/体层摄影术,X线计算机/诊断Key words
liver abscess / tomography , X-ray computed / diagnosis引用本文复制引用
马秀华,吕富荣,薛鹏,皇甫幼田,陈勇,张斯佳..多层螺旋CT动态增强扫描对不典型肝脓肿的诊断价值[J].重庆医学,2011,40(22):2223-2224,2226,3.
