CAJ | 학술논문

目的：通过总结分析各种肺内空洞性病变的影像表现，为临床诊断和鉴别肺内空洞性病变提供理论依据。方法选择本院经影像学、查痰、穿刺、病理诊断证实的186例肺内空洞性病变患者，评价各种疾病引起的肺内空洞性病变的影像学特点。结果经诊断发现肺结核63例、肺癌46例、肺脓肿38例、肺曲霉菌病39例；单发空洞128例（肺上叶72例，肺中下叶56例），两肺并发空洞58例。结论X线和CT对肺内空洞性病变的诊断具有重要的临床价值，临床医生应全面综合考虑影像学资料，把握不同空洞性病变的临床影像学特点，提高诊断准确率。
목적：통과총결분석각충폐내공동성병변적영상표현，위림상진단화감별폐내공동성병변제공이론의거。방법선택본원경영상학、사담、천자、병리진단증실적186례폐내공동성병변환자，평개각충질병인기적폐내공동성병변적영상학특점。결과경진단발현폐결핵63례、폐암46례、폐농종38례、폐곡매균병39례；단발공동128례（폐상협72례，폐중하협56례），량폐병발공동58례。결론X선화CT대폐내공동성병변적진단구유중요적림상개치，림상의생응전면종합고필영상학자료，파악불동공동성병변적림상영상학특점，제고진단준학솔。
Objective By analyzing and summarizing a variety of imaging ifndings of pulmonary cavitary lesions to provide a theoretical basis for clinical diagnosis and differential diagnosis of lung cavitary lesions. Methods Selected 186 cases of pulmonary cavitary lesions confirmed by imaging, sputum, puncture and pathological diagnosis in our hospital and evaluated the imaging features of various diseases caused by pulmonary cavitary lesions. Results After diagnosis, we found 63 cases of tuberculosis;46 cases of lung cancer;38 cases of abscess;39 cases of pulmonary aspergillosis, 128 cases of single cavity (72 cases of upper lobe, 56 cases of lung lower lobe) and 58 cases of both lungs coincided with cavity. Conclusion X-ray and CT have important clinical value in the diagnosis of pulmonary cavitary lesions. Clinicians should consider a comprehensive imaging data to grasp the different clinical imaging features of cavity lesions to improve diagnostic accuracy.