[肝泡型包虫病患者下腔静脉及肝静脉CT成像的价值]
[Value of CT imaging of inferior vena cava and hepatic vein in patients with hepatic cystic echinococcosis].
作者信息
Yong-Xing Dong, Jun-Hu Bai, Yong-Hai Zhang, Xiu-Min Han, Xiao-Sheng Yu
机构信息
Qinghai Province People's Hospital, Xining 810007, China.
出版信息
Zhongguo Xue Xi Chong Bing Fang Zhi Za Zhi. 2019 Feb 20;30(6):671-673. doi: 10.16250/j.32.1374.2018122.
OBJECTIVE
To evaluate the accuracy of CT imaging of inferior vena cava and hepatic vein in patients with hepatic cystic echinococcosis.
METHODS
A total of 100 patients with hepatic cystic echinococcosis were given triple-phase abdominal CT scan, and the reconstructed images of the inferior vena cava and hepatic vein were obtained and compared to the real situation during the surgical operation. The reliability of the CT evaluation of the echinococcus cyst lesion invading inferior vena cava and hepatic vein was analyzed.
RESULTS
The compression displacement, half-globular, no clear demarcation between the lesion and blood vessel and narrowing of the vessel detected by CT evaluation were in accordance with the real situation under the surgical sight. However, four cases of clear demarcation between the lesion and blood vessel were affirmed wrong under the surgical sight. There were three cases of over diagnosis of vascular stenosis judgments.
CONCLUSIONS
The CT images of hepatic vein and inferior vena cava can clearly show the relationship between the hepatic echinococcus cyst and hepatic vein and inferior vena cava.
目的
评估肝囊性棘球蚴病患者下腔静脉和肝静脉CT成像的准确性。
方法
对100例肝囊性棘球蚴病患者进行腹部CT三期扫描，获取下腔静脉和肝静脉的重建图像，并与手术中的实际情况进行对比。分析CT评估棘球蚴囊肿病变侵犯下腔静脉和肝静脉的可靠性。
结果
CT评估所检测到的病变对血管的压迫移位、半球形、病变与血管间无清晰分界以及血管狭窄情况与手术视野下的实际情况相符。然而，手术视野下有4例病变与血管间清晰分界被误判。血管狭窄判断存在3例假阳性诊断。
结论
肝静脉和下腔静脉的CT图像能够清晰显示肝棘球蚴囊肿与肝静脉及下腔静脉之间的关系。
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