肺硬化性血管瘤的CT表现

CT findings of pulmonary sclerosing hemangioma

[目的]探讨肺硬化性血管瘤的CT表现特征,以提高其CT诊断准确性。[方法]回顾性分析5例经手术和病理证实的肺硬化性血管瘤的CT表现,其中1例行CT增强扫描。[结果]5例肺内类圆形肿块边界清楚,2例见斑点状钙化,2例见浅分叶,1例有纵隔淋巴结肿大,所有病例均无毛刺和空洞,无胸膜凹陷和受侵,无血管切迹征。CT值为26-35 Hu。[结论]CT对于肺硬化性血管瘤具有一定的诊断价值。

[ Objective ] To investigate the CT image feature of pulmonary sclerosing hemangioma （PSH）, and improve the CT diagnosis accuracy of PSH. [ Methods ] Retrospectively analyze the CT magnifications of PSH 5 cases confirmed by surgical and pathological, which were totally underwent CT scanning （1 case followed enhanced scanning）. [ Results] CT findings show that all cases were round or elliptic lesion with clear edge, 2 cases of blotched calcification, 2 cases of slightly sublobe, 1 case of mediastinal lymphnode metastasis, all cases without sentus, cavity, pleual recesses and metastasis, incisura vasorum. CT value of observed cases were 26 - 35 Hu. [ Conclusion] CT scanning is helpful for the diagnosis of PSH.