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目的探讨肝脏海绵状血管瘤的不典型影像表现和病理对照研究。方法回顾性分析经病理证实的30例肝脏海绵状血管瘤患者的不典型影像表现并与组织学对照,分析其影像特征。结果 30例肝脏海绵状血管瘤的不典型影像表现包括巨大血管瘤(21例),离心性强化血管瘤(3例),含有多发液平面的血管瘤(1例),带蒂的血管瘤(2例),肝血管瘤病(3例)。结论不典型肝脏血管瘤的影像表现具有不同的组织学结构,了解其影像表现对于避免不必要的外科手术和提高肝内病变鉴别诊断的准确性具有重要意义。
Objective To investigate the atypical imaging and pathological studies of cavernous hemangioma in the liver. Methods A retrospective analysis of pathologically confirmed 30 cases of cavernous hemangioma in patients with atypical imaging performance and histological control, analyze the image features. Results The atypical manifestations of 30 cases of cavernous hemangiomas of the liver included giant hemangiomas (21 cases), centrifugal enhanced hemangiomas (3 cases), multiple hemangiomas (1 case), pedunculated hemangiomas 2 cases), hepatic hemangiomatosis (3 cases). Conclusions The imaging manifestations of atypical hepatic hemangiomas have different histological structures. It is of great significance to understand the imaging findings in order to avoid unnecessary surgery and improve the accuracy of differential diagnosis of intrahepatic lesions.