CAJ | 학술논문

目的：分析先天性肺囊性腺瘤样畸形的CT表现及病理分型，以提高对该病诊断水平。方法回顾性分析9例经手术病理证实为先天性肺囊性腺瘤样畸形的临床资料及 CT 表现，并与病理结果对照。结果9例患者均为单侧肺单叶受累，其中右肺5例（上叶2例、下叶3例），左肺4例（上、下叶各2例）。根据 CT 分型标准，大囊型6例，小囊型3例；大囊型表现为单或多个含气大囊及周围不规则小囊，其中至少有一个囊腔直径＞3．0cm ；小囊型表现为数目众多、大小相近的蜂窝样小囊腔，最大囊直径约为0．3～1．9cm 。6例大囊型对应病理表现为 Stocker I 型，3例小囊型为 Stocker II 型。结论先天性肺囊性腺瘤样畸形 CT 表现具有一定的特征性，CT 检查能准确反应病变分布范围及其形态特征，还可根据 CT 特征推测其病理类型。
목적：분석선천성폐낭성선류양기형적CT표현급병리분형，이제고대해병진단수평。방법회고성분석9례경수술병리증실위선천성폐낭성선류양기형적림상자료급 CT 표현，병여병리결과대조。결과9례환자균위단측폐단협수루，기중우폐5례（상협2례、하협3례），좌폐4례（상、하협각2례）。근거 CT 분형표준，대낭형6례，소낭형3례；대낭형표현위단혹다개함기대낭급주위불규칙소낭，기중지소유일개낭강직경＞3．0cm ；소낭형표현위수목음다、대소상근적봉와양소낭강，최대낭직경약위0．3～1．9cm 。6례대낭형대응병리표현위 Stocker I 형，3례소낭형위 Stocker II 형。결론선천성폐낭성선류양기형 CT 표현구유일정적특정성，CT 검사능준학반응병변분포범위급기형태특정，환가근거 CT 특정추측기병리류형。
Objective To analyse CT manifestations of congenital cystic adenomatoid malformation of the lung and path ‐ological classification ,in order to improve the diagnostic level of the disease .Methods We retrospectively analysed the clinical data and CT manifestation of the 9 cases confirmed by surgery pathology as congenital cystic adenomatoid malfor ‐mation of the lung and compared with the pathological results .Results 9 patients were unilateral lung involvement ,inclu‐ding 5 cases of right lung (2 cases upper lobe ,3 cases in lower lobe) ,4 cases of left lung lobe (2 cases in upper and lower lobe each) .According to the CT classification standard ,6 cases were macrocystic pattern ,3 cases were microcystic pat‐tern ;the manifestation of the macrocystic pattern was characterized by single or multiple big cystides with air inside with surrounding irregular utricle ,among them at least one that the diameter was greater than 3 .0 cm ;the manifestation of the microcystic pattern was characterized by numerous ,honeycomb‐like utricle cavity of similar size ,and the maximum diame‐ter was about 0 .3 ~ 1 .9 cm .The pathological manifestation of 6 cases of macrocystic pattern is corresponding with Stock‐erI type ,the pathological manifestation of the 3 cases of microcystic pattern was corresponding with StockerII type .Con‐clusion Congenital cystic adenomatoid malformation of the lung CT manifestation has certain characteristics .CT examina‐tion can correctly reflect the distribution ,shape and size of the cystic adenomatoid malformation ,also ,can speculate its pathological types .