中外健康文摘
中外健康文摘
중외건강문적
WORLD HEALTH DIGEST
2013年
42期
28-30
,共3页
肺硬化性血管瘤%体层摄影术%X线计算机%病理学
肺硬化性血管瘤%體層攝影術%X線計算機%病理學
폐경화성혈관류%체층섭영술%X선계산궤%병이학
Pulmonary sclerosing hemangioma%Tomographic%X- ray computed%Pathology
目的：探讨肺硬化性血管瘤（P S H）的C T特征，以便提高术前对本病的诊断率。方法：回顾性分析11例经过手术或病理证实的P S H，所有病例均具有完整的临床及和C T资料。结果：11例P S H中，男性2例及女性9例，均为单发结节病灶，发生于右肺6例，左肺5例，大小6m m ×8m m~33m m ×47m m，C T平扫均表现为边界清楚、密度均匀的圆形或卵圆形软组织密度影，3例见浅分叶征，2例可见胸膜凹陷征，2例病灶边缘部分见沙粒状钙化，均未见毛刺征，增强扫描呈持续性进行性显著强化，动脉期、实质期CT值比平扫平均增加31HU和62HU，4例PSH动脉期见贴边血管征。结论：肺硬化性血管瘤的CT表现有一定特征性，CT扫描特别是增强检查能为诊断提供重要依据，明确诊断需病理学检查。
目的：探討肺硬化性血管瘤（P S H）的C T特徵，以便提高術前對本病的診斷率。方法：迴顧性分析11例經過手術或病理證實的P S H，所有病例均具有完整的臨床及和C T資料。結果：11例P S H中，男性2例及女性9例，均為單髮結節病竈，髮生于右肺6例，左肺5例，大小6m m ×8m m~33m m ×47m m，C T平掃均錶現為邊界清楚、密度均勻的圓形或卵圓形軟組織密度影，3例見淺分葉徵，2例可見胸膜凹陷徵，2例病竈邊緣部分見沙粒狀鈣化，均未見毛刺徵，增彊掃描呈持續性進行性顯著彊化，動脈期、實質期CT值比平掃平均增加31HU和62HU，4例PSH動脈期見貼邊血管徵。結論：肺硬化性血管瘤的CT錶現有一定特徵性，CT掃描特彆是增彊檢查能為診斷提供重要依據，明確診斷需病理學檢查。
목적：탐토폐경화성혈관류（P S H）적C T특정，이편제고술전대본병적진단솔。방법：회고성분석11례경과수술혹병리증실적P S H，소유병례균구유완정적림상급화C T자료。결과：11례P S H중，남성2례급녀성9례，균위단발결절병조，발생우우폐6례，좌폐5례，대소6m m ×8m m~33m m ×47m m，C T평소균표현위변계청초、밀도균균적원형혹란원형연조직밀도영，3례견천분협정，2례가견흉막요함정，2례병조변연부분견사립상개화，균미견모자정，증강소묘정지속성진행성현저강화，동맥기、실질기CT치비평소평균증가31HU화62HU，4례PSH동맥기견첩변혈관정。결론：폐경화성혈관류적CT표현유일정특정성，CT소묘특별시증강검사능위진단제공중요의거，명학진단수병이학검사。
Objective:To summarize the CT image features of pulmonary sclerosing hemangioma (PSH), so as to improve the CT diagnostic quality to PSH. Methods: 11 cases w it h PSH proved by surgery and pathology were enrol ed.Results:The CT findings of 11 cases including 2 males and 9females, showed al single lesion, 6 were located in right lobe, 5 located in left lo be, the diameterswere 6mm×8mm~ 33mm×47mm. The CT non- contrast scans of 11 cases demonstrated isolated round or oval soft tissue masseswith clear boundary and homogeneous density, 3 cases with slight lobulation, 2 cases with depressed pleurasigns, 2 cases with calcification like sand inmargin. None of the 11 cases showed spicula sign.The enhanced CT scan showed continuous progressive enhancement and the CT values in arterial phase and parenchymalphase increased for 31HU and 62HU respectively. Blood vessel marginating signs were observed in the arterial phase in 4 cases. Conclusion: The CT image features of PSH have some characteristic and the enhanced CT scan could be helpful in diagnosis of PSH to some extent, but the definite diagnosis should be according to the pathology.
