放射学实践
放射學實踐
방사학실천
RADIOLOGIC PRACTICE
2014年
12期
1464-1467
,共4页
儿童%慢性肉芽肿病%肺部疾病%肝脓肿%并发症%体层摄影术,X 线计算机
兒童%慢性肉芽腫病%肺部疾病%肝膿腫%併髮癥%體層攝影術,X 線計算機
인동%만성육아종병%폐부질병%간농종%병발증%체층섭영술,X 선계산궤
Children%Chronic granulomatous disease%Pulmonary diseases%Hepatic abscess%Complication%Tomo-graphy,X-ray computed
目的：探讨儿童慢性肉芽肿病（CGD）累及胸腹部实质脏器的 MSCT 特征性表现。方法：回顾性分析20例CGD 患儿的胸、腹部 CT 图像资料，全部病例均经临床及实验室检查或基因检测综合诊断为 CGD。结果：胸部 CT 表现：双肺散在结节及斑片状实变影15例，支气管不全阻塞引起的局限性肺气肿13例，胸腔积液、脓胸6例，磨玻璃样密度影5例，结节伴空洞4例，小叶间隔增厚3例，肺门、腋下淋巴结肿大伴钙化2例。腹部 CT 表现：肝脏单发或多发脓肿3例，肝脾肿大12例，小肠不全梗阻1例。结论：儿童 CGD 的临床表现缺乏特异性，CT 检查在明确病变累及范围及提示病原学信息等方面具有重要参考价值。
目的：探討兒童慢性肉芽腫病（CGD）纍及胸腹部實質髒器的 MSCT 特徵性錶現。方法：迴顧性分析20例CGD 患兒的胸、腹部 CT 圖像資料，全部病例均經臨床及實驗室檢查或基因檢測綜閤診斷為 CGD。結果：胸部 CT 錶現：雙肺散在結節及斑片狀實變影15例，支氣管不全阻塞引起的跼限性肺氣腫13例，胸腔積液、膿胸6例，磨玻璃樣密度影5例，結節伴空洞4例，小葉間隔增厚3例，肺門、腋下淋巴結腫大伴鈣化2例。腹部 CT 錶現：肝髒單髮或多髮膿腫3例，肝脾腫大12例，小腸不全梗阻1例。結論：兒童 CGD 的臨床錶現缺乏特異性，CT 檢查在明確病變纍及範圍及提示病原學信息等方麵具有重要參攷價值。
목적：탐토인동만성육아종병（CGD）루급흉복부실질장기적 MSCT 특정성표현。방법：회고성분석20례CGD 환인적흉、복부 CT 도상자료，전부병례균경림상급실험실검사혹기인검측종합진단위 CGD。결과：흉부 CT 표현：쌍폐산재결절급반편상실변영15례，지기관불전조새인기적국한성폐기종13례，흉강적액、농흉6례，마파리양밀도영5례，결절반공동4례，소협간격증후3례，폐문、액하림파결종대반개화2례。복부 CT 표현：간장단발혹다발농종3례，간비종대12례，소장불전경조1례。결론：인동 CGD 적림상표현결핍특이성，CT 검사재명학병변루급범위급제시병원학신식등방면구유중요삼고개치。
Objectire:To investigate the MSCT features of chronic granulomatous disease involving thoracic and ab-dominal organs in children.Methods:The chest and abdomen CT images of 20 children with CGD diagnosed by clinical and laboratory examination or gene test were analyzed retrospectively.Results:The main manifestations on chest CT:nodules and patchy consolidation scattered in bilateral lungs in 15 cases,focal emphysema due to incomplete obstruction of bronchus in 13 cases,pleural effusion or empyema in 6 cases,ground-glass opacity in 5 cases,nodule with cavity in 4 cases,interlobu-lar septal thickening in 3 cases,hilar and axillary lymphadenectasis combined with calcification in 2 cases.The main abdomi-nal CT findings:solitary or multiple hepatic abscesses in 3 cases,hepatosplenomegaly in 12 cases,and incomplete small bowel obstruction in 1 case.Conclusion:The clinical manifestation of CGD was nonspecific,MSCT can provide important in-formation about the extent of CGD and the nature of pathogenic microorganism for clinical treatment.
