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目的:探讨CT对肺硬化性血管瘤的诊断及检查方法。方法:CT检查、经手术及穿刺病理证实的肺硬化性血管瘤(SHL)11例,男3例,女8例,年龄15~64岁,平均38岁。结果:SHL表现为胸膜下区或肺实质内孤立性肿块,边界清晰、边缘光滑、密度均匀、偶见钙化,增强扫描时呈均匀性或混杂密度强化,周围肺纹理无异常改变,无胸膜肥厚及凹陷征象,肺门、纵隔淋巴结无肿大。结论:CT检查可提示SHL的诊断,病理穿刺活检可明确诊断。
Objective: To investigate the CT diagnosis of pulmonary sclerosing hemangiomas and inspection methods. Methods: 11 cases of pulmonary sclerosing hemangioma (SHL) confirmed by operation and biopsy were examined by CT. There were 3 males and 8 females, aged 15-64 years (average 38 years old). Results: SHL manifested as solitary subpleural region or pulmonary parenchyma with clear boundary, smooth edge, uniform density, occasional calcification, enhanced scanning was uniform or mixed density enhancement, no abnormal changes in the surrounding lung tissue, no pleural hypertrophy And signs of depression, hilar, mediastinal lymph nodes without swelling. Conclusion: CT examination can prompt the diagnosis of SHL, pathological biopsy can confirm the diagnosis.