肺泡蛋白沉积症的X线与CT诊断(附4例报告并文献复习)  

X-ray and CT Diagnosis of the Pulmonary Alveolar Proteinosis:A Report of 4 Cases and Literature Review

作　　者：徐国城[1] 刘甫庚[2] 郑秋平[1] 李志忠[1] 王志杰[1] 吴祺钊 戴月真 

机构地区：[1]福建省晋江市医院CT室,福建晋江362200 [2]卫生部北京医院放射科

出　　处：《实用放射学杂志》2006年第10期1214-1216,1290,共4页Journal of Practical Radiology

摘　　要：目的分析肺泡蛋白沉积症的X线与CT表现,提高对本病的认识。方法回顾性分析4例经X线与CT检查并经病理证实的肺泡蛋白沉积症,分析其X线与CT征象。结果4例病变中皆见到弥漫性斑片影与磨玻璃影,CT扫描病灶呈地图样分布。结论CT对肺泡蛋白沉积症的范围、程度及病变轮廓的显示较X线平片准确,根据CT和HRCT表现的典型特征,可以作出可靠的诊断。Objective To analyze the X - ray and CT features of the pulmonary alveolar proteinosis （ PAP ） , in order to improve the identification of this disease. Methods X - ray and CT findings of PAP in 4 cases confirmed by pathology were retrospectively analysed. Resuits Diffuse patchy shadows and ground - glass appearance,which were distributed geographically on CT and HRCT,were all observed in 4 cases of PAP. Conclusion CT might prove more accurate than plain radiography for the evaluation of extend and definition of PAP. According to the typical features of PAP on CT and HRCT appearance, the reliable diagnosis of PAP can be made.

关 键 词：胸 肺泡蛋白沉积症 X线摄影术 体层摄影术 X线计算机 

分 类 号：R563[医药卫生—呼吸系统] R814.41[医药卫生—内科学]