实用肝脏病杂志 ›› 2020, Vol. 23 ›› Issue (1): 114-117.doi: 10.3969/j.issn.1672-5069.2020.01.031

• 肝囊肿和胆总管囊肿 • 上一篇    下一篇

微泡性多囊肝影像学检查表现比较*

王秀清, 马燕君, 詹晋莉   

  1. 810000 西宁市 青海省交通医院功能科(王秀清); 青海大学医学院附属医院超声科(马燕君); 青海省妇幼保健院超声科(詹晋莉)
  • 收稿日期:2019-02-13 出版日期:2020-01-10 发布日期:2020-01-14
  • 作者简介:王秀清,女,38岁,大学本科,主治医师。主要从事超声诊断研究。E-mail:101416399@qq.com
  • 基金资助:
    西宁市医药卫生科技发展计划项目(编号:279032)

Imaging feature of patients with microvesicular polycystic liver

Wang Xiuqing, Ma Yanjun, Zhan Jinli   

  1. Department of Functional Examination,Provincial Communications Hospital,Xining 810000,Qinghai Province,China
  • Received:2019-02-13 Online:2020-01-10 Published:2020-01-14

摘要: 目的 探讨微泡性多囊肝的影像学表现特点。方法 在60例多囊肝(PLD)患者,行计算机体层摄影(CT)、磁共振成像(MRI)和超声(US)检查,分析其表现特征。结果 在60例患者中,19例表现为肝脏肿大,25例有明显的腹部不适症状,6例表现为腹部肿块,大部分患者血清肝功能指标正常;CT表现主要为肝实质内散在分布的类圆形低密度影,大小不一,数目较多,增强扫描无强化,伴有或不伴有肝脏肿大;MRI表现为肝实质内散在分布的类圆形长T1长T2信号,大小不一,数目不等,增强扫描无强化,部分患者合并肝脏肿大;超声检查表现为肝实质内不均匀回声增强,为斑片状或条状分布,多发大小不一的低回声区,部分直径小。结论 虽然CT和MRI检查诊断PLD有着明显的优势,然而超声检查对于微泡性PLD的诊断具有明显的特异性,其在诊断和分型方面可能更具有临床价值。

关键词: 微泡性多囊肝, 超声, 影像学检查, 诊断

Abstract: Objective The aim of this study was to investigate the imaging feature of patients with microvesicular polycystic liver diseases (PLD). Methods A total of 60 patients with PLD were enrolled in this study, and all patients were undergone computer tomography (CT), magnetic resonance imaging (MRI) and ultrasonography (US) examination. Results Out of the 60 patients selected, 19 had hepatomegaly, 25 had obvious gastrointestinal symptoms, and 6 had abdominal mass, while most patients had normal serum liver function tests; the main CT findings in this 60 patients with PLD were as follows: a circular low-density images of different sizes scattered in the liver parenchyma, numerous numbers, no enhancement, and accompanied or not accompanied with liver enlargement; the MRI showed scattered long T1 and long T2 signals in the liver parenchyma, with different sizes of numerous numbers, without enhancement, and some patients had liver enlargement; the ultrasonography showed that the echoes of liver parenchyma increased unevenly, showing patchy, stripy and multiple hypoechoic areas in different sizes, and some of them were especially small in diameter. Conclusion Although CT and MRI have obvious advantages in the diagnosis of patients with PLD, the ultrasonography might easily demonstrate the manifestations and features of patients with microvesicular polysystic liver disease.

Key words: Microvasicluar polycystic liver disease, Ultrasonography, Imaging, Diagnosis