支气管粘液嵌塞栓的CT诊断  

The CT diagosis of bronchial mucous plugs

作　　者：闵旭红 王彬 

机构地区：[1]安徽肺科医院CT室,合肥230001

出　　处：《安徽卫生职业技术学院学报》2007年第5期29-30,共2页Journal of Anhui Health Vocational & Technical College

摘　　要：目的:总结支气管粘液栓的CT特点以提高对本症的认识,为临床治疗提供参考意见。方法:对经病理、纤维支气管镜证实的15例支气管粘液栓的CT表现特点进行回顾和分析。结果:15例中,粘液栓均沿着支气管走行,呈树枝状5例,梭形或小棒状3例,串珠状5例,液囊状2例。本组有3例合并肺不张,增强CT检查未明显强化,经CT诊断为支气管粘液嵌塞栓,经纤维支气管镜取出后,肺复张。结论:CT扫描是支气管粘液嵌塞的最佳诊断方法,支气管镜仍为主要的确诊手段。Objective To study the CT diagnosis of mucous plugs.Methods 15 cases of mucous plays confirmed by pathologic and bronchofibroscope examinations, were given general CT and HRCT scanning.The CT results were analyzed. Results Bronchial mucous plugs were presented as divarication,clubs,nodus and cystic form on CT scanning. which distributed respectively in 5 cases,3 cases,Scases and 2 cases. Three patients complicated with pu monary atelectasis, and after the mucous plugs was taken out by bronchofibroscope,the pulmonary atelectasis was improved.Conclusions CT is the best method for finding bronchial mucous plugs,but the bronchofibroscope is still the final diagnosis means.

关 键 词：支气管粘液栓 体层摄影术 X线计算机 高分辨CT诊断 

分 类 号：R562.2[医药卫生—呼吸系统]