CAJ | 학술논문

目的：探讨胸部结节病的CT表现，提高对该病的认识和诊断水平。方法：回顾性分析经活检病理证实（15例）或临床治疗后观察符合诊断标准（5例）的20例胸部结节病的CT表现。结果：该研究病例中90%患者胸部CT表现为肺门或纵隔淋巴结肿大，60%表现为肺内结节影，20%表现为肺纤维化改变，15%表现为支气管血管束增粗，10%表现为胸膜改变，15%表现为小叶间隔增厚，10%表现为磨玻璃影，5%表现为肺实变。结论：胸部结节病CT表现形式多种多样，具有一定的影像特征性及演变规律，有助于提高对胸部结节病诊断正确率。
목적：탐토흉부결절병적CT표현，제고대해병적인식화진단수평。방법：회고성분석경활검병리증실（15례）혹림상치료후관찰부합진단표준（5례）적20례흉부결절병적CT표현。결과：해연구병례중90%환자흉부CT표현위폐문혹종격림파결종대，60%표현위폐내결절영，20%표현위폐섬유화개변，15%표현위지기관혈관속증조，10%표현위흉막개변，15%표현위소협간격증후，10%표현위마파리영，5%표현위폐실변。결론：흉부결절병CT표현형식다충다양，구유일정적영상특정성급연변규률，유조우제고대흉부결절병진단정학솔。
To investigate the CT findings of thoracic sarcoidosis and improve the understanding and diagnostic level of the disease. Retrospective analysis of the pathology or clinical treatment were observed in 20 patients with thoracic sarcoidosis accorded with the diagnostic standard of CT performance. There were 15 cases confirmed by pathology and 5 cases verified after clinical treatment. There were hilar or mediastinal lymph nodes in 90% cas-es, pulmonary mainly nodules in 60% case, pulmonary fibrosis in 20% cases, bronchovascular bundle thickening in 15%cases, pleural effusion in 10% cases, interlobular septal thickening in 15% cases, ground-glass opacity in 10% cases and pulmonary consolidation in 5% cases. CT findings of thoracic sarcoidosis may help improve the rate of its diagnosis.