中国CT和MRI杂志
中國CT和MRI雜誌
중국CT화MRI잡지
Chinese Journal of CT and MRI
2015年
12期
4-6
,共3页
胸部放线菌病%X线平片%CT 体层摄影术%多平面重组%影%像特点
胸部放線菌病%X線平片%CT 體層攝影術%多平麵重組%影%像特點
흉부방선균병%X선평편%CT 체층섭영술%다평면중조%영%상특점
Chest Actinomycosis%X-ray Plain Film%CT Tomography%Multiplanar Restructuring%Image Features
目的：分析胸部放线菌病的X线平片和CT体层摄影术影像特点，评价X线及CT在诊断该病中的价值。方法选择2005年1月至2015年2月期间我院收治，经实验室检查证实为胸部放线菌病的患者10例为研究对象，所有患者均行X线平片和CT体层摄影术检查；CT影像采用标准算法、多平面重组图像，观察影像特点。结果本组10例患者X线正、侧胸平片均显示为团块和大片密实影，但没有显示有空洞、液化和气体病灶；CT检查结果显示：放线菌病变累及18个肺叶52个肺段；8例患者的CT影像显示以团块为主要病灶，病灶周围肺多见斑点或斑片以及条索状模糊影；团块内可见薄壁、和空洞，薄壁壁内光滑，空洞内有低密度液化灶和散在悬浮气体影；CT影像显示均为见气-液平面；10例患者的CT影像均显示病灶邻近胸膜增厚情况，8例患者的CT影像显示肺门和(或)纵隔淋巴结增大，2例患者的CT影像显示右肺斑片状影合并纵隔脓肿。结论 X线平片检查胸部放线菌病无法显示空洞、液化和气体病灶，诊断价值有限，而CT体层摄影术可显示病灶的具体细节，具有特征性，具有较高的诊断价值。
目的：分析胸部放線菌病的X線平片和CT體層攝影術影像特點，評價X線及CT在診斷該病中的價值。方法選擇2005年1月至2015年2月期間我院收治，經實驗室檢查證實為胸部放線菌病的患者10例為研究對象，所有患者均行X線平片和CT體層攝影術檢查；CT影像採用標準算法、多平麵重組圖像，觀察影像特點。結果本組10例患者X線正、側胸平片均顯示為糰塊和大片密實影，但沒有顯示有空洞、液化和氣體病竈；CT檢查結果顯示：放線菌病變纍及18箇肺葉52箇肺段；8例患者的CT影像顯示以糰塊為主要病竈，病竈週圍肺多見斑點或斑片以及條索狀模糊影；糰塊內可見薄壁、和空洞，薄壁壁內光滑，空洞內有低密度液化竈和散在懸浮氣體影；CT影像顯示均為見氣-液平麵；10例患者的CT影像均顯示病竈鄰近胸膜增厚情況，8例患者的CT影像顯示肺門和(或)縱隔淋巴結增大，2例患者的CT影像顯示右肺斑片狀影閤併縱隔膿腫。結論 X線平片檢查胸部放線菌病無法顯示空洞、液化和氣體病竈，診斷價值有限，而CT體層攝影術可顯示病竈的具體細節，具有特徵性，具有較高的診斷價值。
목적：분석흉부방선균병적X선평편화CT체층섭영술영상특점，평개X선급CT재진단해병중적개치。방법선택2005년1월지2015년2월기간아원수치，경실험실검사증실위흉부방선균병적환자10례위연구대상，소유환자균행X선평편화CT체층섭영술검사；CT영상채용표준산법、다평면중조도상，관찰영상특점。결과본조10례환자X선정、측흉평편균현시위단괴화대편밀실영，단몰유현시유공동、액화화기체병조；CT검사결과현시：방선균병변루급18개폐협52개폐단；8례환자적CT영상현시이단괴위주요병조，병조주위폐다견반점혹반편이급조색상모호영；단괴내가견박벽、화공동，박벽벽내광활，공동내유저밀도액화조화산재현부기체영；CT영상현시균위견기-액평면；10례환자적CT영상균현시병조린근흉막증후정황，8례환자적CT영상현시폐문화(혹)종격림파결증대，2례환자적CT영상현시우폐반편상영합병종격농종。결론 X선평편검사흉부방선균병무법현시공동、액화화기체병조，진단개치유한，이CT체층섭영술가현시병조적구체세절，구유특정성，구유교고적진단개치。
Objective Analysis actinomycosis of the chest X-ray plain film and CT tomography imaging characteristics, the evaluation of the value of X-ray and CT in the diagnosis of the disease.Methods Choose from January 2005 to February 2015, in our hospital during the period, confirmed by laboratory tests for patients with thoracic actinomycosis 10 cases as the research object, all patients were performed X-ray plain film and CT tomography; CT images with a standard algorithm, multi plane restructuring image, image characteristics.Results This group of 10 cases with X-ray is, lateral chest plain film are displayed as mass and large dense shadow, but did not show empty, liquefied gas and lesions; CT examination results showed that 52 actinomycetes lesions involving 18 normal; 8 cases of patients with CT images show that mass as the main lesions, lung see more spots or patch around the lesions and the funicular fuzzy shadow; Mass in the thin wall, and hollow, thin wall smooth, hollow with low density liquefaction and scattered suspended gas oven shadow; CT scan showed to see gas-liquid surface; CT images of 10 cases were showed lesion adjacent pleural thickening, 8 cases of patients with lung CT images showed the door increases and/or mediastinal lymph nodes, 2 cases of right lung CT images showed patchy shadow merge mediastinal abscess.Conclusion X-ray plain film to check the chest actinomycosis cannot view demonstrates the focal area of cavity, liquid and gas, limited diagnostic value and CT tomography can display the details of the lesion, has the characteristic, has high diagnostic value.
