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超声造影诊断肝脏腺瘤合并 FNH 一例

刘 亭, 林 玲*, 陈 爽

摘要

目的:总结超声造影对肝脏腺瘤和 FNH 的诊断及鉴别。方法:分析 1 例病理证实为肝脏腺瘤合并 FNH 的患者的
常规超声及超声造影报告。结果 肝脏腺瘤常规超声边界清楚,形态规则,超声造影动脉期呈整体均匀高增强,强化始于周边,
门脉期及延迟期呈等增强;FNH 常规超声边界清楚,形态规则,超声造影动脉期呈中央向周边轮辐状高增强,门脉期及延
迟期呈稍高增强,中央见小片状低增强。结论 HCA 及 FNH 在常规超声上均无明显特异性,鉴别十分困难,两者还可同时
并存发生于非高危人群,需及时结合超声造影进行鉴别及诊断。

关键词

HCA;FNH;超声造影

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