放射性核素显像在巨大肝血管瘤诊断与鉴别诊断中的意义

radionuclide imaging in diagnosis and differential diagnosis of huge hepatic hemangioma

目的:评价放射性核素显像诊断巨大肝血管瘤的临床应用价值。方法:肝内巨大占位病变23例病人37个病灶,同时行肝胶体断层和肝血池断层显像。手术病理证实为肝巨大血管瘤24个病灶。结果:核素显像诊断巨大肝血管瘤都有典型表现:肝血池延迟相放射性过度填充,明显高于正常肝组织。结论:肝胶体断层显像联合肝血池断层显像诊断巨大肝血管瘤有良好诊断价值,对巨大肝血管瘤与肝癌有重要的鉴别诊断意义。

Objective ：To evaluate the clinical application of radionuclide imaging in diagnosis of huge hopatic hemangioma. Methods： Twenty three patients with hepatic occupied lesion with 37 foci were examined by means of radionuclide colloid liver scan and blood pool imaging,24 lesion confirm by pathology were huge hepatic hemangioma. Results： Characteristics of huge hemangioma in radionuclide imaging were significant radioactive spot in blood pool imaging delayed phase, which were significantly higher than that in the normal hepatic tissue. Conclusion： Radionuclide colloid liver scan and blood pool imaging are valuable for the diagnosis of huge hemangioma, which are especially valuable for the diagnosis and differential diagnosis between huge hemangioma and hepatic cancer.