中国医学装备
中國醫學裝備
중국의학장비
CHINA MEDICAL EQUIPMENT
2014年
10期
75-82
,共8页
碎石路征%磨玻璃影%增厚,小叶间隔
碎石路徵%磨玻璃影%增厚,小葉間隔
쇄석로정%마파리영%증후,소협간격
Crazy-paving pattern%Ground-glass opacity%Thickening,interlobular septa
目的：通过列举导致碎石路征表现各类疾病，比较其薄层CT的表现与组织病理学表现的关系。方法：回顾性的分析309医院放射科CT扫描数据库有关碎石路征报道的胸部薄层CT83例患者资料，对碎石路征表现的病例进行研究。结果：83例均表现为碎石路征的病例，包括感染35例(细菌感染6例，病毒性感染16例，真菌感染1例，混合感染12例)；急性呼吸窘迫综合征(ARDS)4例；急性肺水肿3例；间质性肺疾病(UIP，NSIP)18例；腺癌3例；淋巴管癌病3例；淋巴瘤肺浸润2例；放射性肺炎5例；结节病1例；肺泡蛋白沉积症4例；肺泡出血4例；类脂性肺炎1例。结论：碎石路征是一种非特异性的薄层CT征象，可见于感染性、肿瘤性以及一些原因不明的疾病。如果缩小鉴别诊断范围，则可提示某种疾病的诊断。
目的：通過列舉導緻碎石路徵錶現各類疾病，比較其薄層CT的錶現與組織病理學錶現的關繫。方法：迴顧性的分析309醫院放射科CT掃描數據庫有關碎石路徵報道的胸部薄層CT83例患者資料，對碎石路徵錶現的病例進行研究。結果：83例均錶現為碎石路徵的病例，包括感染35例(細菌感染6例，病毒性感染16例，真菌感染1例，混閤感染12例)；急性呼吸窘迫綜閤徵(ARDS)4例；急性肺水腫3例；間質性肺疾病(UIP，NSIP)18例；腺癌3例；淋巴管癌病3例；淋巴瘤肺浸潤2例；放射性肺炎5例；結節病1例；肺泡蛋白沉積癥4例；肺泡齣血4例；類脂性肺炎1例。結論：碎石路徵是一種非特異性的薄層CT徵象，可見于感染性、腫瘤性以及一些原因不明的疾病。如果縮小鑒彆診斷範圍，則可提示某種疾病的診斷。
목적：통과열거도치쇄석로정표현각류질병，비교기박층CT적표현여조직병이학표현적관계。방법：회고성적분석309의원방사과CT소묘수거고유관쇄석로정보도적흉부박층CT83례환자자료，대쇄석로정표현적병례진행연구。결과：83례균표현위쇄석로정적병례，포괄감염35례(세균감염6례，병독성감염16례，진균감염1례，혼합감염12례)；급성호흡군박종합정(ARDS)4례；급성폐수종3례；간질성폐질병(UIP，NSIP)18례；선암3례；림파관암병3례；림파류폐침윤2례；방사성폐염5례；결절병1례；폐포단백침적증4례；폐포출혈4례；류지성폐염1례。결론：쇄석로정시일충비특이성적박층CT정상，가견우감염성、종류성이급일사원인불명적질병。여과축소감별진단범위，칙가제시모충질병적진단。
Objective:The purpose of this paper is to illustrate different diseases that cause this crazy-paving pattern and to correlate the thin-section CT findings with the histopathological findings. Methods: A retrospective review of the medical records of our radiological computed tomography database was performed from January 2010 until December 2012,searching for patients reported to have a crazy-paving pattern on a thin-section CT of the chest. In total, 83 patients with a crazy-paving pattern were retained and reviewed. Results:The crazy-paving pattern consists of interlobular septal and intralobular interstitial thickening superimposed on an area of ground-glass attenuation on thin-section CT scans. We identified 83 cases that presented with the crazy-paving pattern, inclould infection(bacterial infection n=6,viral infection n=16,fungal infection n=1,and mixed infection n=12); ARDS n=4; acute pulmonary oedema n=3; interstitial lung disease (UIP, NSIP) n=18; adenocarcinomas n=3; lymphangitis carcinomatosis n=3;lymphoma pulmonary infiltration n=2;radiation pneumonitis n=5;sarcoidosis n=1;alveolar proteinosis n=4;alveolar hemorrhage n=4; lipid pneumonia n=1. Conclusion: The crazy-paving pattern on thin-section CT is a non-specific signs, can be seen in infections, tumor, as well as some cryptogenetic diseases. Nevertheless, familiar with these common diseases, allows us to narrow the differential diagnosis, even prompted the diagnosis of certain diseases in the appropriate clinical setting.
