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论著-头颈部

肝动脉瘤患者的增强扫描CT诊断研究

作者:赵 年

所属单位:湖北医药学院附属东风医院(湖北 十堰 442008)

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摘要

目的 探讨CT增强扫描在肝动脉 瘤中的诊断价值。方法 以我院收治的42 例肝动脉瘤患者作为研究对象,将其随机 分为对照组与观察组,每组21例。对照组 给予CT平扫,观察组给予CT增强扫描,以 病理检查结果为金标准,对比分析两组患 者的诊断正确率。结果 对照组诊断正确 率为52.4%,明显低于观察组的90.5%,差 异显著(χ2 =7.28,P<0.05)。结论 CT增 强扫描在肝动脉瘤中的诊断价值较高,可 显著提高临床诊断正确率,避免漏诊、误 诊的发生,具有增强信息的作用,可为临 床诊治提供重要的参考依据,值得推广。

Objective To evaluate diagnostic value of CT enhancement scanning on hepatic artery aneurysms. Methods Forty two patients with hepatic artery aneurysm were selected as research subjects, who were divided into the control group and the observation group with 21 cases in each group according to the diagnosis and treatment. Patients in the control group were subject to CT scan, and patients in the observation group were subject to CT enhanced scan, pathological examination results serve as gold standards, and the diagnosis accuracy on two groups of patients was compared and analyzed. Results The accurate rate of diagnosis in the control group was 52.4%, being significantly less than that of patients in the observation group at 90.5%, and the difference was significant (χ2 =7.28, P<0.05). Conclusion Enhanced CT scan delivers diagnosis value of hepatic artery aneurysms higher, significantly improves clinical diagnosis accuracy, avoids the occurrence of missed diagnosis and misdiagnosis, plays the role of information enhancement, and provides important reference basis for clinical diagnosis and treatment, being worthy of promotion.

【关键词】肝动脉瘤;CT;增强扫描;平扫;诊断价值

【中图分类号】R445.3;R543.5

【文献标识码】A

【DOI】 10.3969/j.issn.1672- 5131.2016.03.020

前言

肝动脉瘤是临床比较罕见的一种血管性病变,是由于肝动脉及其 分支扩张而形成的动脉瘤,多为单发,极少数为多发[1]。根据病变部 位的不同可将其分为肝外型和肝内型两种,其中以肝外型较为常见, 肝外型可累及患者肝固有动脉、左肝动脉及右肝动脉等。肝动脉瘤发 生人群主要集中于中老年人,其中男性的发病率又普遍高于女性。该 病无明显临床症状,部分患者可能出现右上腹或右季肋疼痛的情况, 瘤体急性扩大可发生破裂出血的情况,影响患者的生活质量,因此早 期诊断十分重要[2,3]。近年来CT技术不断发展提高,它在诊断肝脏疾病 及其他疾病方面做出了极大的贡献。但普通CT在诊断准确率方面存在 一定的局限性,增强CT作为普通CT的补充,在诊断疾病方面发挥着重 要的作用[4]。因此,我院以42例肝动脉瘤患者作为研究对象,探讨CT 增强扫描在其中的应用价值,现将结果报告如下。