中国医疗设备Issue(12)：5-7,11,4.DOI:10.3969/j.issn.1674-1633.2014.12.002
多层螺旋CT在肺硬化性血管瘤诊断中的临床应用价值
Diagnostic Value of MSCT in Diagnosis of Pulmonary Sclerosing Hemangioma
摘要
Abstract
Objective To discuss the clinical application value of multi-slice spiral CT (MSCT) in diagnosis of pulmonary sclerosing hemangioma (PSH).Methods MSCT features and preoperative diagnostic accuracy were retrospectively analyzed of 19 patients with pathologically proven PSHs after surgery. 9 patients were performed with routine CT scan, 2 patients were performed with directly enhanced CT scan, and 8 patients were performed with routine and enhanced CT scan. Finally, thin layer reconstruction and multiplanar reformation(MPR) were conducted to the images.ResuIts All of 19 images in our study presented solitary pulmonary nodules or masses with a mean diameter of 23 mm and equal distribution. 8 patients (42.1%) had calcifications. 4 images (21.1%) had lobulations. 3 images (15.8%) had air meniscus signs. 4 images (21.1%) showed the tendency to grow across the pleural membranes. And only one image (5.26%) showed pleural indentation sign. 8 images (80%) conducted with enhanced CT scan showed vascular welt signs. The preoperative localization diagnosis accuracy rate was 100% and the preoperative qualitative diagnostic accuracy rate was 68% in this group.ConcIusionThe morphological and structural features of PSH can be seen clearly in MSCT thin layer and MPR. And welt vessel signs can be helpful to the diagnosis of PSHs.MSCT has high clinical application value in the diagnosis of PSH.关键词
多层螺旋CT/肺硬化性血管瘤/肺肿瘤/体层摄影术Key words
multi-slice spiral CT/pulmonary sclerosing hemangioma/lung neoplasm/tomography分类
医药卫生引用本文复制引用
王同兴,徐辉,孙晋,谢光辉,殷信道..多层螺旋CT在肺硬化性血管瘤诊断中的临床应用价值[J].中国医疗设备,2014,(12):5-7,11,4.基金项目
国家自然科学基金青年基金项目（81202032）。 （）
