多层螺旋CT肝脏增强扫描技术在肝脏疾病诊断中的应用

发布时间：2018-12-17 03:05

【摘要】：目的:探讨多层螺旋CT肝脏增强扫描技术在肝脏疾病诊断中的临床应用价值。方法:收集2015年2月—2016年5月患者328例,随机分为研究组和对照组,各164例,研究组采用多层螺旋CT进行肝脏增强扫描,对照组采用普通螺旋CT进行肝脏扫描,扫描部位确定为膈顶至肝右叶下缘,并观察增强三期病情诊断情况。结果:研究组诊断结果为肝癌43例(26.2%),肝血管瘤31例(18.9%),脂肪肝56例(34.1%),肝囊肿16例(9.8%),肝脓肿18例(11.0%)。对照组诊断结果为肝癌40例(24.4%),肝血管瘤29例(17.7%),脂肪肝30例(18.3%),肝囊肿14例(8.5%),肝脓肿16例(9.8%),有35例(21.3%)患者未得到明确诊断。两组患者检出率进行比较,差异有统计学意义(P0.05)。肝脏增强三期病情诊断最大强化峰值各不相同。结论:多层螺旋CT肝脏增强扫描技术在肝脏疾病诊断中检出疾病率较高,并能完成动脉期和门静脉期的全肝扫描,可为肝脏疾病患者提供明确诊断,值的临床推荐。
[Abstract]:Objective: to evaluate the clinical value of multislice spiral CT enhanced liver scanning in the diagnosis of liver diseases. Methods: 328 patients from February 2015 to May 2016 were randomly divided into study group (n = 164) and control group (n = 164). Liver enhancement scanning was performed by multislice spiral CT in the study group and liver scanning by conventional spiral CT in the control group. The scanning site was from the top of the diaphragm to the lower margin of the right lobe of the liver. Results: in the study group, 43 cases (26.2%) were diagnosed as liver cancer, 31 cases (18.9%) as hepatic hemangioma, 56 cases (34.1%) as fatty liver, 16 cases (9.8%) as hepatic cyst, 18 cases (11.0%) as liver abscess. In the control group, 40 cases (24.4%) were diagnosed as liver cancer, 29 cases (17.7%) as hepatic hemangioma, 30 cases (18.3%) as fatty liver, 14 cases (8.5%) as hepatic cyst, 16 cases (9.8%) as liver abscess. 35 patients (21.3%) were not clearly diagnosed. The detection rate of the two groups were compared, the difference was statistically significant (P0.05). The peak value of maximum enhancement was different in three stages of liver enhancement. Conclusion: multislice helical CT enhanced liver scanning technique can detect liver diseases with high rate, and can complete the whole liver scanning in arterial and portal phases, which can provide definite diagnosis and clinical recommendation for patients with liver diseases. [WT5HZ] [WT5 "HZ] [WT5" BZ] [WT5 "BZ]
【作者单位】：天津市河西医院放射科;
【分类号】：R575;R816.5

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