齐齐哈尔医学院学报
齊齊哈爾醫學院學報
제제합이의학원학보
JOURNAL OF QIQIHAR MEDICAL COLLEGE
2014年
12期
33-34
,共2页
多层螺旋CT灌注成像%灌注增强扫描%孤立性纤维瘤%诊断
多層螺鏇CT灌註成像%灌註增彊掃描%孤立性纖維瘤%診斷
다층라선CT관주성상%관주증강소묘%고립성섬유류%진단
Multi-slice spiral CT perfusion imaging%Perfusion scan solitary%fibrous tumor%Diagnosis
目的：探讨多层螺旋CT灌注成像在肺部孤立性纤维瘤诊断中的作用及临床应用价值。方法回顾性分析了本例肺巨大孤立性纤维瘤病例资料、多层螺旋CT灌注成像结果及术后切除组织常规病理等检查结果，结合有关文献复习和讨论了肺孤立性纤维瘤的临床、影像学、病理学特征，及其诊断与鉴别诊断。结果术后病理证实为“肺部巨大孤立性纤维瘤”。肺孤立性纤维瘤在CT图像上显示出良性肿瘤的病变特征，具体表现为孤立、实性、宽基底、边缘清晰、光整，有完整包膜，部分浅分叶状、密度低度差异或伴有坏死，其不呈现毛刺及卫星病灶；肿块向胸腔内突起，胸壁相应部位肋骨未见异常改变，常规CT扫描时肿瘤内部呈现均匀密度图像，灌注增强扫描时可有局部轻度强化。结论根据常规CT扫描、CT灌注成像（动脉期、静脉期）的不同表现可较为早期的诊断出肺部孤立性纤维瘤，为患者提供更多的手术机会。
目的：探討多層螺鏇CT灌註成像在肺部孤立性纖維瘤診斷中的作用及臨床應用價值。方法迴顧性分析瞭本例肺巨大孤立性纖維瘤病例資料、多層螺鏇CT灌註成像結果及術後切除組織常規病理等檢查結果，結閤有關文獻複習和討論瞭肺孤立性纖維瘤的臨床、影像學、病理學特徵，及其診斷與鑒彆診斷。結果術後病理證實為“肺部巨大孤立性纖維瘤”。肺孤立性纖維瘤在CT圖像上顯示齣良性腫瘤的病變特徵，具體錶現為孤立、實性、寬基底、邊緣清晰、光整，有完整包膜，部分淺分葉狀、密度低度差異或伴有壞死，其不呈現毛刺及衛星病竈；腫塊嚮胸腔內突起，胸壁相應部位肋骨未見異常改變，常規CT掃描時腫瘤內部呈現均勻密度圖像，灌註增彊掃描時可有跼部輕度彊化。結論根據常規CT掃描、CT灌註成像（動脈期、靜脈期）的不同錶現可較為早期的診斷齣肺部孤立性纖維瘤，為患者提供更多的手術機會。
목적：탐토다층라선CT관주성상재폐부고립성섬유류진단중적작용급림상응용개치。방법회고성분석료본례폐거대고립성섬유류병례자료、다층라선CT관주성상결과급술후절제조직상규병리등검사결과，결합유관문헌복습화토론료폐고립성섬유류적림상、영상학、병이학특정，급기진단여감별진단。결과술후병리증실위“폐부거대고립성섬유류”。폐고립성섬유류재CT도상상현시출량성종류적병변특정，구체표현위고립、실성、관기저、변연청석、광정，유완정포막，부분천분협상、밀도저도차이혹반유배사，기불정현모자급위성병조；종괴향흉강내돌기，흉벽상응부위륵골미견이상개변，상규CT소묘시종류내부정현균균밀도도상，관주증강소묘시가유국부경도강화。결론근거상규CT소묘、CT관주성상（동맥기、정맥기）적불동표현가교위조기적진단출폐부고립성섬유류，위환자제공경다적수술궤회。
Objective To investigate the role of multislice spiral CT perfusion imaging in the diagnosis of pulmonary solitary fibrous tumors .Methods Retrospective analysis the case of pulmonary solitary fibrous tumor clinical data , multislice spiral CT perfusion images and tissue pathology , combined with relevant literature review, to discuss the feature of CT images, clinical data, tissue pathological, diagnosis and differential diagnosis of the pulmonary solitary fibrous tumors .Results This case is "pulmonary solitary fibrous tumor"according to the diagnosis of pathological .The CT images of solitary fibrous tumor show a benign lesion characteristics , specific performance isolated, solid, wide base, sharp edges, finishing with a complete capsule, some shallow lobulated, low density differences or accompanied by necrosis , which does not exhibit glitches and satellite lesions;mass protruding into the chest , chest no abnormal changes in the corresponding parts of the ribs , while routine CT scans showed uniform density within the tumor image , might have slight enhancement of local perfusion enhanced scan images . Conclusions According to the different manifestations of the early diagnosis of pulmonary solitary fibrous tumor by conventional CT scans and CT perfusion imaging (arterial, venous phase), it is possible to provide more evidences for patients to have a surgery .
