原发性气管肿瘤及肿瘤样病变的X线与CT诊断  

X-ray and CT Features of Primary Tracheal Tumor and Tumor-like Condition

作　　者：李润明[1] 陈君宏[1] 于伟利[1] 杨荫清[1] 

机构地区：[1]西安医科大学第二附属医院放射科

出　　处：《实用放射学杂志》1998年第4期196-198,共3页Journal of Practical Radiology

摘　　要：目的：评价Ｘ线和ＣＴ检查对原发性气管肿瘤及肿瘤样病变的诊断价值。方法：２２例气管原发性病变均经病理证实。１０例良性，１２例恶性。组织学诊断包括：鳞癌６例，未分化癌３例，腺样囊性癌２例，浆细胞瘤１例，纤维组织细胞瘤１例，神经纤维瘤１例，乳头状瘤１例，良性混合瘤１例，软骨瘤１例，类癌２例，气管内迷走甲状腺１例，结核１例，淀粉样变性１例。结果：Ｘ线和ＣＴ所见分为五种类型：（１）管壁增厚伴腔内高低不平隆起；（２）管腔内局限性不光滑结节；（３）环形狭窄；（４）腔内光滑结节；（５）隆突病变。结论：Ｘ线检查对确定气管病变的部位、范围非常有用。ＣＴ可提供病变的详细特点。Purpose:To evaluate X-ray and CT value in diagnosis of primary tracheal tumor and tumor-like condition.Methods:22 cases of primary tracheal lesion proved by patholgy were examinated by X-ray and CT,of 10 cases were benign and 12 cases were malignant.Histolgic diagnosis were 6 squamous cell carcinoma,3 undifferented carcinoma,2 adenoid cystic carcinoma,1 plasmocytoma,1 fibrous histocytoma,1 Neurofibroma,1 papilloma,1 benign mixed tumor,1 chondroma,2 carcinoid,1 ectopic thyroid,1 tuberclusis,1 amyloidosis.Results:The X-ray and CT findings were divided into 5 lypeo:(1)tracheal wall-thinkening associated with intraluminal bulge;(2)intraluminal lobulated noudle;(3)circular norrowing;(4)intraluminal local smooth noudle;(5)mass lesion of carina.Coclusion:convenltonal X-ray is still useful for deteching and determining the location and the extent of tracheal lesion.CT provides more detailed chracteristics of tracheal mass lesion.Many fators shoued he considered in the diagnosis of tracheal tumors.

关 键 词：气管肿瘤 肿瘤样病变 X线诊断 CT 

分 类 号：R734.104[医药卫生—肿瘤] R7340.44[医药卫生—临床医学]