核素肝平面和断层显像在肝占位性病变诊断中的对比分析

• 作 者: 唐培兰 王光先 赵春广 罗会林
• 机 构: 贵阳医学院附院核医学科,贵阳医学院附院核医学科,贵阳医学院附院核医学科,贵阳医学院附院核医学科
• 出 处: 贵州医药
• 发表日期: 1999年01期
• 关键词: 断层显像 肝占位性病变 肝平 肝显像 肝动脉灌注显像 肝血管瘤 肝实质 肝癌病人 瘤体直径 单光子发射

对确诊的有52个病灶（直径为1．5～10．5cm）的27例肝占位性病变患者的核素肝平面和断层显像进行对比分析。结果显示肝实质断层显像无漏诊病人，且可检出全部病灶；而肝实质平面显像漏诊病人4例，漏检病灶11个。表明肝实质断层显像对病人的检出率较平面显像高14．0％，对病灶的检出率较平面显像高21．2％；结合病人的肝血池断层显像和肝动脉灌注显像表现，有26例与最后诊断相符，其定性诊断符合率明显高于其它影像学检查。

Diagnosed tumor surface and tomographic scintigraphy of nuclear lesions in 27 patients with lesions (1.5 to 10.5 cm in diameter) were compared. The results showed that there was no missed diagnosis of liver parenchymal imaging and all lesions could be detected. In the liver parenchymal imaging, 4 were missed and 11 were missed. It showed that the detection rate of liver parenchymal imaging was 14.0% higher than that of planar imaging, 21.2% higher than that of planar imaging, and combined with the patient’s liver blood pool imaging and hepatic artery Perfusion imaging performance, 26 cases were consistent with the final diagnosis, the qualitative diagnostic coincidence rate was significantly higher than other imaging studies.