基层医学论坛
基層醫學論罈
기층의학론단
PUBLIC MEDICAL FORUM MAGAZINE
2014年
26期
3538-3539
,共2页
郑龙嵋%周和平%朱亚男%蒋士杰
鄭龍嵋%週和平%硃亞男%蔣士傑
정룡미%주화평%주아남%장사걸
肺%硬化性血管瘤%体层摄影术%X线计算机
肺%硬化性血管瘤%體層攝影術%X線計算機
폐%경화성혈관류%체층섭영술%X선계산궤
Iung%Sclerosing hemangioma%Tomography%X-ray computed
目的:探讨肺硬化性血管瘤(PSH)的CT诊断及鉴别诊断,以提高对本病的认识和诊断率。方法回顾性分析我院经手术病理证实的7例肺硬化性血管瘤病例,分析其CT表现。结果 PSH好发于中年女性, CT表现为肺内孤立圆形、类圆形结节或肿块,密度尚均匀,边界光整。CT增强扫描病灶呈明显均匀强化,且持续强化。结论 PSH具有一般良性肿瘤的CT表现,动态增强扫描对其诊断有较高价值;病灶周围出现“空气新月征”及“贴边血管征”更有助于对肺硬化性血管瘤的诊断。
目的:探討肺硬化性血管瘤(PSH)的CT診斷及鑒彆診斷,以提高對本病的認識和診斷率。方法迴顧性分析我院經手術病理證實的7例肺硬化性血管瘤病例,分析其CT錶現。結果 PSH好髮于中年女性, CT錶現為肺內孤立圓形、類圓形結節或腫塊,密度尚均勻,邊界光整。CT增彊掃描病竈呈明顯均勻彊化,且持續彊化。結論 PSH具有一般良性腫瘤的CT錶現,動態增彊掃描對其診斷有較高價值;病竈週圍齣現“空氣新月徵”及“貼邊血管徵”更有助于對肺硬化性血管瘤的診斷。
목적:탐토폐경화성혈관류(PSH)적CT진단급감별진단,이제고대본병적인식화진단솔。방법회고성분석아원경수술병리증실적7례폐경화성혈관류병례,분석기CT표현。결과 PSH호발우중년녀성, CT표현위폐내고립원형、류원형결절혹종괴,밀도상균균,변계광정。CT증강소묘병조정명현균균강화,차지속강화。결론 PSH구유일반량성종류적CT표현,동태증강소묘대기진단유교고개치;병조주위출현“공기신월정”급“첩변혈관정”경유조우대폐경화성혈관류적진단。
Objective To investigate the pulmonary sclerosing hemangioma (PSH) of the CT performance features,designed to increase awareness of PSH imaging to improve preoperative diagnosis. Methods The clinical data of 7patients with PSH in our hospital,including symptoms,radiological examinations. The diagnosis of PSH was confirmed by histological examination. Results PSH should be considered in young and middle-aged female patients. On CT,the lesion presented as well-defined,round and oval shaped mass or nodule, a homogeneous soft tissue mass on unenhanced CT. Homogeneous enhancement after contrast administration; on delayed phase scans , some of them demonstrated late enhancement. Conclusion PSH in the CT scan is generally benign characteristics. The disease can be preoperatively diagnosed combined with air-trapping zone , vessels at its periphery within images(especially on CT).