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目的探讨血管内平滑肌瘤病(IVL)的MSCT表现,进一步提高对该病的认识,减少误诊。方法结合文献复习,回顾性分析1例被本院诊断为IVL患者的临床资料、MSCT轴位图像及多平面重建(MPR)的影像特征。结果IVL的CT平扫为稍低密度影,增强后呈轻中度强化,MPR能直观地显示病灶的范围、形态、病灶远端情况及延伸路径。结论MSCT检查,特别是MPR能更直观地表现出IVL的影像学特点,对IVL的诊断、治疗和预后随访评估都具有重要价值。
Objective To investigate the manifestation of MSCT in patients with intravascular leiomyomata (IVL), further improve the understanding of the disease and reduce the misdiagnosis. [Methods] According to the literature review, the clinical data of one patient diagnosed as IVL in our hospital, the imaging features of MSCT axial images and MPR were retrospectively analyzed. Results The CT scan of IVL showed a slightly lower density, with mild to moderate enhancement after enhancement. MPR could visually show the extent and shape of the lesion, the distal lesion and the extension path. Conclusion MSCT examination, especially MPR, can more vividly show the imaging features of IVL, which is of great value in the diagnosis, treatment and follow-up evaluation of IVL.