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目的:探讨肝脏局灶性结节增生诊断中多层螺旋计算机断层扫描(CT)平扫及多期增强扫描的应用价值。方法:回顾性分析2016年1月至2017年1月顺德区第一人民医院附属杏坛医院收治的肝脏局灶性结节增生患者30例及同期肝癌患者30例的临床资料,比较其经螺旋CT检查的结果。结果:肝脏局灶性结节增生患者肝包膜下患者数显著高于肝癌患者,差异具有统计学意义(P<0.05);肝脏局灶性结节增生患者平扫显示等或略低密度,中心显示星芒状低密度区,无门静脉癌栓或肝硬化,差异具有统计学意义(P<0.05)。结论:肝脏局灶性结节增生诊断中应用多层螺旋CT检查特征明显且独特,临床可将其作为首选疾病诊断方法。
Objective: To investigate the value of multislice spiral computed tomography (CT) and multi-phase contrast-enhanced scanning in the diagnosis of focal hepatic nodules hyperplasia. Methods: The clinical data of 30 patients with hepatic focal nodular hyperplasia and 30 patients with hepatocellular carcinoma at the Xingtan Hospital Affiliated to First People’s Hospital of Shunde District from January 2016 to January 2017 were retrospectively analyzed. CT examination results. Results: The number of patients undergoing hepatic capsule nodular hyperplasia was significantly higher than that of hepatocellular carcinoma patients (P <0.05). The patients with hepatic focal nodular hyperplasia showed equal or slightly lower density, The center showed stellate low density area, no portal vein tumor embolus or cirrhosis, the difference was statistically significant (P <0.05). Conclusion: The multi-slice spiral CT examination of liver focal nodular hyperplasia has obvious and unique features and can be used clinically as the preferred method of diagnosis.