CAJ | 학술논문

目的：探讨肺脂肪栓塞综合征的 X 线及 CT 特点。方法：回顾性分析8例被诊断为肺脂肪栓塞患者的影像资料，由两位放射科医师对患者的胸部 X 线片及多层螺旋 CT 图像进行评价。结果：行 X 线片扫描5例表现为双肺弥漫性分布的片状密度增高影，2例表现为双肺中下野分布为主的片状阴影，1例仅表现为肺纹理增强。行 CT 检查5例表现为磨玻璃样改变（3例弥漫性分布、1例呈“地图样”片状分布、1例合并肺小叶间膈增厚呈现网状阴影），3例表现为多发实变影或结节影，2例合并有双侧胸腔积液。结论：X 线平片仍是诊断肺脂肪栓塞比较可靠的影像学检查方法，螺旋 CT 能够提供更多特征性的影像信息。
목적：탐토폐지방전새종합정적 X 선급 CT 특점。방법：회고성분석8례피진단위폐지방전새환자적영상자료，유량위방사과의사대환자적흉부 X 선편급다층라선 CT 도상진행평개。결과：행 X 선편소묘5례표현위쌍폐미만성분포적편상밀도증고영，2례표현위쌍폐중하야분포위주적편상음영，1례부표현위폐문리증강。행 CT 검사5례표현위마파리양개변（3례미만성분포、1례정“지도양”편상분포、1례합병폐소협간격증후정현망상음영），3례표현위다발실변영혹결절영，2례합병유쌍측흉강적액。결론：X 선평편잉시진단폐지방전새비교가고적영상학검사방법，라선 CT 능구제공경다특정성적영상신식。
Objective: To investigate radiographic and computed tomography features of pulmonary fat embolism syndrome (FES). Method: A retrospective review was performed on the data of 8 cases FES proved by clinical diagnosis. The chest radiographs and CT studies were assessed by two radiologists. Results: On chest radiographs, bilateral diffuse distributed pulmonary shadows were seen in 5 cases, a middle or lower predominance in 2 cases. Increased pulmonary markings were seen in 1 case. On CT scans, 5 cases showed ground-glass opacities, which had a diffuse distribution in 3 cases, patchy distribution resulting in a geographic appearance in 1 cases, the other one with intralobular septal thickening. Multi-focal areas of consolidation or nodules were seen in 2 patients. Bilateral pleural effusion was seen in 2 patients. Conclusion: Radiography is still the reliable modality in diagnosing FSE and MSCT can provide much more characteristic information.