中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2013年
24期
33-35
,共3页
结节病%胸部%X线计算机%体层摄影术
結節病%胸部%X線計算機%體層攝影術
결절병%흉부%X선계산궤%체층섭영술
Sarcoidosis%Chest%X-ray computed%Tomography
目的 分析胸部结节病常规CT及高分辨CT(HRCT)的特点,提高对该病的认识和诊断准确率.方法 回顾性分析36例经临床和病理确诊的胸内结节病的高分辨CT表现.结果 36例结节病中,肺门、纵隔淋巴结肿大35例(97.2％),其中肺门淋巴结肿大7例(19.4％),纵隔淋巴结肿大4例(11.1％),肺门或纵隔淋巴结肿大同时伴有肺内改变28例(77.8％),肺部改变而无淋巴结肿大l例(2.8％).肺内改变主要表现为结节影23例(63.9％),其中5例(13.9％)为常规CT不易发现的微小结节,支气管血管束增粗或网织状改变8例(22.2％),较大结节或实变影4例(11.1％),磨玻璃影4例(11.1％),胸膜下结节2例(5.56％),气管狭窄1例(2.8％),胸腔积液l例(2.8％).结论 胸内结节病的临床表现及实验室检查无特异性,HRCT检查不仅可发现淋巴结肿大,更能清晰显示肺内特征性改变,尤其能检出常规CT不易发现的微小结节,对结节病的诊断很有帮助.
目的 分析胸部結節病常規CT及高分辨CT(HRCT)的特點,提高對該病的認識和診斷準確率.方法 迴顧性分析36例經臨床和病理確診的胸內結節病的高分辨CT錶現.結果 36例結節病中,肺門、縱隔淋巴結腫大35例(97.2％),其中肺門淋巴結腫大7例(19.4％),縱隔淋巴結腫大4例(11.1％),肺門或縱隔淋巴結腫大同時伴有肺內改變28例(77.8％),肺部改變而無淋巴結腫大l例(2.8％).肺內改變主要錶現為結節影23例(63.9％),其中5例(13.9％)為常規CT不易髮現的微小結節,支氣管血管束增粗或網織狀改變8例(22.2％),較大結節或實變影4例(11.1％),磨玻璃影4例(11.1％),胸膜下結節2例(5.56％),氣管狹窄1例(2.8％),胸腔積液l例(2.8％).結論 胸內結節病的臨床錶現及實驗室檢查無特異性,HRCT檢查不僅可髮現淋巴結腫大,更能清晰顯示肺內特徵性改變,尤其能檢齣常規CT不易髮現的微小結節,對結節病的診斷很有幫助.
목적 분석흉부결절병상규CT급고분변CT(HRCT)적특점,제고대해병적인식화진단준학솔.방법 회고성분석36례경림상화병리학진적흉내결절병적고분변CT표현.결과 36례결절병중,폐문、종격림파결종대35례(97.2％),기중폐문림파결종대7례(19.4％),종격림파결종대4례(11.1％),폐문혹종격림파결종대동시반유폐내개변28례(77.8％),폐부개변이무림파결종대l례(2.8％).폐내개변주요표현위결절영23례(63.9％),기중5례(13.9％)위상규CT불역발현적미소결절,지기관혈관속증조혹망직상개변8례(22.2％),교대결절혹실변영4례(11.1％),마파리영4례(11.1％),흉막하결절2례(5.56％),기관협착1례(2.8％),흉강적액l례(2.8％).결론 흉내결절병적림상표현급실험실검사무특이성,HRCT검사불부가발현림파결종대,경능청석현시폐내특정성개변,우기능검출상규CT불역발현적미소결절,대결절병적진단흔유방조.
Objective To analyze the features of CT and high resolution CT(HRCT) of thoracic sarcoidosis,and to improve the recognition and the diagnostic accuracy of the disease.Methods The high resolution CT findings of 36 patients with thoracic sarcoidosis diagnosed by clinic and pathology were retrospectively analyzed.Results Among the 36 cases of sarcoidosis,35 cases(97.2％) had pulmonary hilar or mediastinal lymph nodes enlargement,in which only pulmonary hilar lymph nodes enlargement was shown in 7 cas (19.4％),only mediastinal lymph nodes enlargement in 4 cases(11.1％),hilar or mediastinal lym node enlargement simultaneously accompanied by intrapulmonary changes in 28 cases (77.8％),and only changes in lung without lymph nodes enlargement in 1 case(2.8％).The major features of pulmonary changes were:nodules in 23 cases(63.9％),of which 5 cases(13.9％) showed tiny nodules that were hard to be found by conventional CT,bronchovascular bundle thickening or reticular structure changes in 8 cases (22.2％),relatively large nodules or consolidation opacity in 4 cases (11.1％),ground glass opacity in 4 cases(11.1％),pleural nodules in 2 cases(5.56％),tracheal stenosis in 1 case(2.8％),and pleural effusion in 1 case(2.8％).Conclusions The clinical manifestations and laboratory examinations of thoracic sarcoidosis have no specificity.HRCT not only can find enlarged lymph nodes,but also can clearly display the characteristic changes in lung,especially those tiny nodules which are hard to be find by conventional CT,and this may contribute to the diagnosis of sarcoidosis.
