肝脓肿48例CT误诊的原因分析

An analysis of the reasons for CT misdiagnosis of 48 cases of hepatic abscess

目的探讨肝脓肿患者的CT误诊原因及图像特点。方法选取我院2010年4月～2013年3月收治的发生CT误诊的肝脓肿患者48例,对患者的影像学资料进行回顾性分析,并对误诊原因进行分析。结果36例患者误诊为其他肝内病变,12例患者CT图像显示患者病灶周围存在一过性肝段强化。结论肝脓肿患者的CT检查图像表现复杂,临床诊断时应结合肝脓肿的重要征象对CT资料进行分析,以提高肝脓肿疾病的诊断率。

Objective To explore the reasons and image characteristics of CT misdiagnosis of patients with hepatic abscess. Methods 48 patients with hepatic abscess who were admitted to our hospital and misdiagnosed by CT from April 2010 to March 2013 were selected. Patients＇ imaging data were retrospectively analyzed and the reasons for misdiagnosis were discussed. Results 36 patients were misdiagnosed as other intra-liver lesions, and CT images of 12 patients showed a transient hepatic segmental enhancement around the lesions. Conclusion CT images of patients with hepatic abscess are complicated, and the CT data should be analyzed in combination with the important signs of hepatic abscess in clinical diagnosis, so as to improve the diagnostic rate of hepatic abscess.