肺癌性淋巴管炎胸部X线征象  

Thoracic X-ray Signs of Pulmonary Lymphangitis Carcinomatosa

作　　者：雷志丹[1] 贾武林[1] 史大鹏[1] 芦运生[1] 

机构地区：[1]河南省人民医院放射科,河南郑州450003

出　　处：《实用放射学杂志》2007年第6期743-746,共4页Journal of Practical Radiology

摘　　要：目的探讨肺癌性淋巴管炎的X线征象。方法回顾性分析37例经支气管镜活检、胸膜活检或开胸肺活检证实的肺癌性淋巴管炎的X线和HRCT征象,寻求能提示癌性淋巴管炎的X线征象。结果37例肺癌性淋巴管炎的X线表现中,两肺多发的支气管血管束增粗37例,两肺广泛分布的不规则增厚的克氏A线28例,两肺广泛分布的网状、网结节状阴影(不规则增厚的克氏C线)19例,两肺多发的不规则增厚的克氏B线15例,肺门淋巴结增大18例,胸膜不规则增厚16例,胸腔积液9例。结论肺癌性淋巴管炎的影像诊断以HRCT为最佳,但优质的胸部X线平片可以提供一些有益征象。Objective To study the X - ray signs of pulmonary lymphangitis carcinomatosa （ PLC ）. Methods X - ray and HRCT signs of PLC proved by bronchoscopic or pleural or open - lung biopsy in 37 cases were retrospectively analyzed in order to find out some X - ray signs that suggested the PLC. Results The major X - ray features of PLC included ： （ 1 ） Multiple thickened bronchovascular bundles in the bilateral lung in 37 cases; （2）Irregular thickened kerley A distributed over the bilateral lung in 28 cases ; （3）The reticular and inosculating shadows（ kerley C ） extensively distributed over the bilateral lung in 19 cases; （4）The multiple irregular thickened kerley B distributed over the bilateral lung in 15 cases ; （ 5 ） Pulmonary hilar lymph adenopathy in 18 cases ; （6） Pleurae irregularly thickened in 16 cases ; （7） Hydrothoraxes in 9 cases. Conclusion HRCT is the most satisfactory method in diagnosing PLC, but the super - quality thoracic plane film can supply some useful signs of PLC.

关 键 词：肺 淋巴管炎 癌性 放射摄影术 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]