多体位CT胸膜腔造影检查57例报告  

Examinations of Multi-Positional CT Pleurography in 57 Cases with Non-Encysted Pleural Effusion

作　　者：朱亚茜[1] 李月川[2] 顾隽珩[2] 赵晓赟[2] 李毅[2] 

机构地区：[1]天津医科大学 [2]天津市胸科医院

出　　处：《天津医药》2008年第4期270-272,I0001,共4页Tianjin Medical Journal

基　　金：天津市卫生局科研基金项目(项目编号:07KY03)

摘　　要：目的:研究多体位CT胸膜腔造影(MP-CTP)检查的临床应用价值。方法:在普通CT胸膜腔造影(CTP)的基础上,加用胸水扩容造影、病灶局部薄层及多体位CT扫描的方法,对于57例非包裹性胸腔积液患者进行前瞻性研究,其结果与普通CTP相对比。结果:54例渗出性胸水中,普通CTP所示的胸膜病变MP-CTP均能显示,且后者检出更多病灶,尤其位于非低垂部位的结节影、胸膜不规则增厚和胸膜粘连等病灶。31例恶性渗出性胸水中,MP-CTP检出胸膜结节、胸膜不规则增厚和胸膜粘连者分别为20例、15例和8例;以上病灶在23例良性渗出性胸水中检出者分别为5例、4例和14例。结论:MP-CTP检查可提高胸膜病变的检出率,并可以初步鉴别良性及恶性渗出性胸水。Objective： To evaluate the clinical significance of multi-positional CT pleurography （MP-CTP）. Methods： On the basis of ordinary CT pleurography （CTP）, this study applied additional methods such as muhi-positional CT scan- ning and increasing the volume of pleural effusion, high resolution CT on localised lesion. Perspective studies on 57 cases of non-encysted pleural effusion were compared with the same ones using ordinary CTP. Results： In 54 cases with exudative effusion, all lesions detected by CTP were demonstrated by MP-CTP as well, and MP-CTP detected more additional lesions, especially nodules on anterior and lateral pleura,irregular thickening of pleura and pleural adhesion. In 31 cases with malignant effusion, it was found by MP-CTP that 20 cases with pleural nodules, 15 cases with irregular pleural thickening and 8 cases with pleural adhesion. While in 23 cases with benign effusion,it was 5 cases ,4 cases and 14 cases correspondently. Conclusion： MP-CTP increases the positive finding of pleural lesions and also provides the initial differential diagnosis of benign and malignant pleural effusion.

关 键 词：胸膜腔造影/多体位 胸腔积液 鉴别诊断 计算机体层摄影术 

分 类 号：R561.4[医药卫生—呼吸系统] R814.43[医药卫生—内科学]