影像研究与医学应用2 01 8年7月第2卷第1 3期CT动态增强和MR l判断肝脓肿病理分期的作用熊 勇(四川都江堰市人民医院 四川 都江堰 6 1 1 83 0)【摘要】目的:探讨CT动态增强和MRI判断肝脓肿病理分期的临床价值。方法:选取肝脓肿患者44例,分析CT动态增强检查和MR I检查的表现特征.结果: (1)cT动态增强检查提示,肝脓肿在动脉期表现为脓肿壁强化,但炎性反应带无强化;在门静脉期表现为脓肿壁继续强化,并且炎性反应带强化;在延迟期表现为脓肿壁强化,炎性反应带呈低密度.(2)MRI检查提示,T1呈均匀或不均匀的低信号,T2为极高信号。结论:螺旋CT动态增强扫描和MRI扫描都能够清晰显示肝脓肿的病理分期,效果均较好.【关煳】肝脓肿;病理分期;CT;MRI【文章编号】2096-3807(2018)13-0035-02The value ofCT dynamic enhancement and MRI to judge thepathological stage ofliver abscessXiong Yon够$ichuan Dujiangyanpeople'sHospital611830,China[Abstract]Objective To investigate the value of CT dynamic enhancement and MRI to judge the pathological stage ofliver abscess.Methods 44 cases of liver abscess were collected,the characteristics of CT dynamic enhanced examination andMRI examination were observed.Results(1)CT showed hepatic abscessabscess wall enhancement in the arterial phase,butinflammatory reaction with no enhancement in the portal vein;to continue to strengthen the performance ofthe abscess wallpand inflammatory reaction zone strengthening;strengthening the abscess wall in delayed phase,inflammatory reaction zoneshowed low density.(2)MRl showed that T1 showed a homogeneous or heterogeneous low signal.T2 w瓠a very lligh signal.‘Condusion The spiral CT dynamic enhanced scan and M砌scan can clearly show the pathological stage of liver abscess,andthe effect is good.k[Zeywords]Liver abscess;Pathological staging;CT;MRI