中国医药指南
中國醫藥指南
중국의약지남
CHINA MEDICINE GUIDE
2014年
1期
27-27,28
,共2页
肺炎%体层摄影术%X线计算机
肺炎%體層攝影術%X線計算機
폐염%체층섭영술%X선계산궤
Pneumonia%Tomography%X-ray computed
目的:分析局灶性机化性肺炎的 CT 征象,提高对该病的正确诊断率。方法搜集临床资料完整并经手术及病理证实的22例病变,进行回顾性分析其影像表现。结果局灶性机化性肺炎的 CT 表现:①病变呈多形态广基底贴于胸膜,伴局限性胸膜粘连增厚,无胸水及钙化征象;②密度均匀或不均匀;③病灶边缘粗长毛刺;④病变周围密度较淡的模糊斑片状影,位于非胸膜侧。结论对肺部病灶形态、边缘、密度、病灶周围及胸膜改变的综合分析,能提高对本病的正确诊断率,并能与周围型肺癌,结核瘤作出鉴别诊断,减少误诊。
目的:分析跼竈性機化性肺炎的 CT 徵象,提高對該病的正確診斷率。方法搜集臨床資料完整併經手術及病理證實的22例病變,進行迴顧性分析其影像錶現。結果跼竈性機化性肺炎的 CT 錶現:①病變呈多形態廣基底貼于胸膜,伴跼限性胸膜粘連增厚,無胸水及鈣化徵象;②密度均勻或不均勻;③病竈邊緣粗長毛刺;④病變週圍密度較淡的模糊斑片狀影,位于非胸膜側。結論對肺部病竈形態、邊緣、密度、病竈週圍及胸膜改變的綜閤分析,能提高對本病的正確診斷率,併能與週圍型肺癌,結覈瘤作齣鑒彆診斷,減少誤診。
목적:분석국조성궤화성폐염적 CT 정상,제고대해병적정학진단솔。방법수집림상자료완정병경수술급병리증실적22례병변,진행회고성분석기영상표현。결과국조성궤화성폐염적 CT 표현:①병변정다형태엄기저첩우흉막,반국한성흉막점련증후,무흉수급개화정상;②밀도균균혹불균균;③병조변연조장모자;④병변주위밀도교담적모호반편상영,위우비흉막측。결론대폐부병조형태、변연、밀도、병조주위급흉막개변적종합분석,능제고대본병적정학진단솔,병능여주위형폐암,결핵류작출감별진단,감소오진。
Objective To improve the correct rate of focal organizing pneumonia’s diagnosis by analyzing the CT signs. Methods The clinical data of 22 cases confirmed by surgery and pathology were collected and analyzed retrospectively. Results The CT features of focal organizing pneumonia were: ①The lesion was irregular shape, and broad-base lesions often affixed to the pleura with adjacent pleural thickening. ②Density was uniform or non-uniform.③Lesions edge was coarse spicule. ④The satellite lesion with lighter density located in the lateral pleura. Conclusions The comprehensive and intergraded analysis of the lesion, edge, density, change of pleura of lung involvement can improve the accurate rate of imaging diagnosis in focal organizing pneumonia, differentiate with peripheral lung cancer and tuberculosis, and reduce misdiagnosis.