CAJ | 학술논문

目的分析肺泡状棘球蚴病的CT表现特征,评价CT诊断该病的价值.方法回顾性分析26例经病理确诊或临床综合诊断为肺泡状棘球蚴病的CT表现特征及各种表现的病理基础.结果双肺多发病灶18例,一侧肺多发病灶6例,双肺单发病灶2例.其中病灶为肿块结节混合型17 例,结节型8例,1例为单发肿块.26例中24例病灶边缘可见分叶状或锯齿状突起,13例病灶内可见不规则空洞、空泡,18例病灶内可见钙化,14例病灶邻近的肺组织内见到少量斑片或条索影,20例邻近胸壁的病灶处胸膜增厚明显,病灶以宽基底与胸壁相贴.结论肺泡状棘球蚴病有较明显的CT表现特征,CT检查能为该病的诊断提供重要价值.
목적 분석폐포상극구유병적CT표현특정,평개CT진단해병적개치.방법 회고성분석26례경병리학진혹림상종합진단위폐포상극구유병적CT표현특정급각충표현적병리기출.결과 쌍폐다발병조18례,일측폐다발병조6례,쌍폐단발병조2례.기중병조위종괴결절혼합형17 례,결절형8례,1례위단발종괴.26례중24례병조변연가견분협상혹거치상돌기,13례병조내가견불규칙공동、공포,18례병조내가견개화,14례병조린근적폐조직내견도소량반편혹조색영,20례린근흉벽적병조처흉막증후명현,병조이관기저여흉벽상첩.결론 폐포상극구유병유교명현적CT표현특정,CT검사능위해병적진단제공중요개치.
Objective To analyze the CT features of lung alveolar echinococcosis and assess the value of CT scanning for the diagnosis of this disease. Methods The CT features of lung alveolar echinococcosis in 26 patients diagnosed pathologically or clinically were reviewed retrospectively and correlated with histopathology.Results Lung alveolar echinococcosis appeared as multiple lesions bilaterally in 18 patients, as multiple lesions unilaterally in 6 patients, and as single lesion bilaterally in 2 patients. Seventeen cases presented as masses and nodules,8 patients presented as nodules,1 patient presented as a mass. Lobulation and spiculation were showed in most lesions, irregular cavity or bubble-like opacity in 13 patients,calcification in 18 patients,a patchy area or fibrotic cord around lesion in 14 patients. Pleural thickening adjacent to the lesion in 20 patients. Conclusion Lung alveolar echinococcosis has characteristic features on CT, and CT can provide important information for the diagnosis of lung alveolar echinococcosis.