Janson R, Lackner K, Paquet K J, Thelen M, Thurn P
Rofo. 1980 Jun;132(6):658-65. doi: 10.1055/s-2008-1056638.
The computer tomographic and angiographic findings in 53 patients with intrahepatic masses were compared. The histological findings show that 17 were due to echinococcus, 12 were due to hepatic carcinoma, ten were metastases, five patients had focal nodular hyperplasia, three an alveolar echinococcus and there were three cases with an haemangioma of the liver and a further three liver abscesses. Computer tomography proved superior in peripherally situated lesions, and in those in the left lobe of the liver. Arteriography was better at demonstrating lesions below 2 cm in size, particularly vascular tumours. As a pre-operative measure, angiography is to be preferred since it is able to demonstrate anatomic anomalies and variations in the blood supply, as well as invasion of the portal vein or of the inferior vena cava.
对53例肝内肿块患者的计算机断层扫描和血管造影结果进行了比较。组织学检查结果显示,17例为棘球蚴病,12例为肝癌,10例为转移瘤,5例为局灶性结节性增生,3例为泡状棘球蚴病,3例为肝血管瘤,另有3例为肝脓肿。计算机断层扫描在位于周边的病变以及肝左叶病变中显示出优势。血管造影在显示直径小于2 cm的病变方面表现更佳,尤其是血管性肿瘤。作为术前检查手段,血管造影更受青睐,因为它能够显示解剖异常和血供变化,以及门静脉或下腔静脉的侵犯情况。