齐齐哈尔医学院学报
齊齊哈爾醫學院學報
제제합이의학원학보
Journal of Qiqihar University of Medicine
2015年
31期
4740-4742
,共3页
MSCT%肺韦格肉芽肿%诊断
MSCT%肺韋格肉芽腫%診斷
MSCT%폐위격육아종%진단
MSCT%Pulmonary Wegener granulomatosis%Diagnosis
目的 探讨MSCT对肺韦格氏肉芽肿的临床诊断价值.方法 对我院2012年4月至2014年9月收治的24例肺韦格氏肉芽肿患者的临床资料进行回顾性分析,总结肺韦格氏肉芽肿患者的MSCT特征.结果 24例患者均有双肺多发结节影,大小不等,且2例患者结节周围见"供养血管征".8例患者有多发结节合并肿块,肿块直径为3.0~6.5 cm,肿块内部可见空洞.8例患者为胸膜下楔形病灶,增强扫描呈边缘强化,并可见"血管供给征".8例患者有磨玻璃征,肿块内可见边缘模糊的血管轮廓.6例患者支气管管壁增厚及扩张,2例患者伴有肺中叶肺不张,并有两侧少量胸腔积液.4例患者可见结节钙化.1例患者合并部分小结节影增大演变为肿块.结论 肺韦格氏肉芽肿的MSCT特征常见的表现为多发结节伴"血管供给征"、结节毛刺、"岛屿征"和毛玻璃影等,对肺韦格氏肉芽肿的诊断具有一定的临床价值.
目的 探討MSCT對肺韋格氏肉芽腫的臨床診斷價值.方法 對我院2012年4月至2014年9月收治的24例肺韋格氏肉芽腫患者的臨床資料進行迴顧性分析,總結肺韋格氏肉芽腫患者的MSCT特徵.結果 24例患者均有雙肺多髮結節影,大小不等,且2例患者結節週圍見"供養血管徵".8例患者有多髮結節閤併腫塊,腫塊直徑為3.0~6.5 cm,腫塊內部可見空洞.8例患者為胸膜下楔形病竈,增彊掃描呈邊緣彊化,併可見"血管供給徵".8例患者有磨玻璃徵,腫塊內可見邊緣模糊的血管輪廓.6例患者支氣管管壁增厚及擴張,2例患者伴有肺中葉肺不張,併有兩側少量胸腔積液.4例患者可見結節鈣化.1例患者閤併部分小結節影增大縯變為腫塊.結論 肺韋格氏肉芽腫的MSCT特徵常見的錶現為多髮結節伴"血管供給徵"、結節毛刺、"島嶼徵"和毛玻璃影等,對肺韋格氏肉芽腫的診斷具有一定的臨床價值.
목적 탐토MSCT대폐위격씨육아종적림상진단개치.방법 대아원2012년4월지2014년9월수치적24례폐위격씨육아종환자적림상자료진행회고성분석,총결폐위격씨육아종환자적MSCT특정.결과 24례환자균유쌍폐다발결절영,대소불등,차2례환자결절주위견"공양혈관정".8례환자유다발결절합병종괴,종괴직경위3.0~6.5 cm,종괴내부가견공동.8례환자위흉막하설형병조,증강소묘정변연강화,병가견"혈관공급정".8례환자유마파리정,종괴내가견변연모호적혈관륜곽.6례환자지기관관벽증후급확장,2례환자반유폐중협폐불장,병유량측소량흉강적액.4례환자가견결절개화.1례환자합병부분소결절영증대연변위종괴.결론 폐위격씨육아종적MSCT특정상견적표현위다발결절반"혈관공급정"、결절모자、"도서정"화모파리영등,대폐위격씨육아종적진단구유일정적림상개치.
Objective To investigate the clinical diagnostic value of MSCT in the diagnosis of pulmonary Wegener's granulomatosis.Methods 24 cases with pulmonary Wegener's granulomatosis in our hospital from April 2012 to September 2014 were selected for the study,the clinical datas of them were retrospectively analyzed to summarize the MSCT characteristics of the patients with lung Wegener's granulomatosis.Results 24 patients had multiple nodular shadow of lung with varied size,and 2 patients showed "dependent vascular symptoms"around the nodules.8 patients had multiple nodules with lumps,and the diameters of the lumps were 3.0 to 6.5 cm.Besides,tumor cavity inside was visible.8 cases of patients had wedge-shaped subpleurallesions.The results of enhanced scan showed marginalization and the entry of vascular shadow,which was called "vascular support levy."Eight patients had ground-glass sign,and edge blur of blood vessels within the tumor contour were visible.6 patients had thickening and expansion bronchial wall.2 cases of patients had pulmonary atelectasis in the middle of the lung,with a small amount of pleural effusion on both sides.The nodulars of 4 patients were calcified.Some small nodules of one patient evolved into mass lumps.Conclusions The common MSCT feature of pulmonary Wegener's granulomatosis were manifestations of multiple nodules with"vascular supply"sign,nodule glitch,"islands sign"and frosted glass film,etc,which shows the clinical value to the diagnosis of pulmonary Wegener's granulomatosis to some degree.
