肺淋巴管肌瘤病的影像诊断  

Imaging diagnosis of the pulmonary lymphangiomyomatosis

作　　者：胡敬花[1] 

机构地区：[1]山东省菏泽市立医院CT室,山东菏泽274031

出　　处：《医学影像学杂志》2005年第9期771-773,共3页Journal of Medical Imaging

摘　　要：目的:提高对肺淋巴管肌瘤病的影像学认识。方法:对5例经病理证实的肺淋巴管肌瘤病患者的影像学表现及相关文献进行回顾性研究。结果:5例均为女性。胸片示双肺弥漫网状结节影。HRCT表现为两肺弥漫均匀分布的薄壁囊状影,边缘清晰,大小不等。结论:肺淋巴管肌瘤病是一种罕见的以细支气管周围血管平滑肌的异常增生为特征的疾病。影像检查可提示肺淋巴管肌瘤病的诊断,两肺广泛均匀分布的薄壁囊状影为其胸部HRCT特征。Objective： To improve the imaging recognition of the lymphangiomyomatosis. Methods： The manifestations of 5 patients with lymphangiomyomatosis confirmed by pathological assessment were analyzed retrospectively and relevant literature were reviewed. Results： Multiple, well-defined and thin-walled cysts were found on the chest HRCT. The size of the cystic air space was different, and the wall of cysts ranged being fainted perceptible to near 1mm in thickness. The retroperitoneal lymphangiomyomatosis were found in the 5 patients on CT images. Conclusion. Lymphangiomyomatosis is a rare lymphangial disease with smooth muscle abnormal hyperplasia. The diagnosis of LAM may be suggested by imaging examination. The diffuse cysts in bilateral lungs were its characteristic changes on CT images.

关 键 词：肺淋巴管肌瘤病 胸部 体层摄影术 X线计算机 

分 类 号：R734.2[医药卫生—肿瘤] R814.42[医药卫生—临床医学]