胸部结节病36例临床医学影像征象分析  

Clinical imaging analysis of introthoracic sarcoidosis in 36 cases

作　　者：王世华[1] 黄世廷[2] 孙景兰[1] 尚延海[2] 

机构地区：[1]山东省立医院保健科,山东济南250021 [2]山东省医学影像学研究所,山东济南250021

出　　处：《医学影像学杂志》2007年第10期1057-1059,共3页Journal of Medical Imaging

摘　　要：目的：探讨临床影像检查对胸部结节病的诊断价值。方法：回顾性分析胸部结节病36例患者临床影像资料，病例均经手术病理和临床治疗随访证实。结果：患者女性略多于男性，可发生于任何年龄，但半数以上见于40-50岁患者，临床症状多较轻微；胸部淋巴结增大具有特征性，多表现为纵隔与双侧肺门对称性淋巴结增大，增大淋巴结多不融合，境界较清晰，强化CT扫描，增大淋巴结多呈中度强化。肺内表现呈多样化，可为间质性肺改变、多发粟粒结节或肿块，肺门增大模糊症也较常见，胸膜腔积液较少见。结论：胸部结节病临床表现无特异性，医学影像检查对胸部结节病的诊断具有重要临床价值。Objective： To investigate the diagnostic value of clinical imaging for the introthoracic sarcoidosis. Methods： Analysis of the clinical imaging materials of introthoracic sarcoidosis was retrospectively performed in 36 eases that were proved by postoperative pathology and clinical therapeutic observation. Results： The disease occurred morefrequenfly in female than male at any age, but more than half occurred in the people of 40- 50 yearn. The clinical Symptoms was relatively slight; enlarged thoracic lymph nodes had characteristics, i. e., most showed enlarged lymph nodes in the mediasfinum and bilateral hila, but not fusion, with well-defined margin and moderately enhanced.The pulmonary manifestation was of great variation, inoluding interstitial pulmonary abnormality, multiple military nodes or mass. The sign of indistinct enlarged pulmonary hila could also be found and pleural effusion was less frequently. Conclusion： The clinical symptoms of introthoracic sareoidosis cases have no specific characteristics and medical imaging is valuable in the diagnosis of thoracic sareoidosis.

关 键 词：胸部结节病 医学影像 诊断 

分 类 号：R734.2[医药卫生—肿瘤] R445[医药卫生—临床医学]