肺结核空洞与肺癌空洞的CT鉴别诊断  

Differential Diagnosis of Pulmonary Tuberculous Cavity and Lung Cancer Cavity on CT

作　　者：黎叶芳 

机构地区：[1]北京市仁和医院CT室,102600

出　　处：《中国医药指南》2010年第15期175-176,共2页Guide of China Medicine

摘　　要：目的探讨分析空洞性肺结核与空洞性肺癌的CT特征,提高对其的诊断和鉴别诊断。方法回顾性分析经病理及临床证实的空洞型肺结核及空洞型肺癌CT表现,评价空洞壁及周围特点。结果 30例空洞性肺结核中薄壁22例,厚壁8例;卫星病灶12例,偏心空洞9例,有壁结节7例,胸膜尾征7例,毛刺6例,纵隔淋巴结肿大5例;30例空洞性肺癌中厚壁23例,薄壁7例;其中26例为偏心性,呈分叶状24例,淋巴结肿大20例,胸膜尾征19例,血管集束征13例,胸腔积液8例,伴卫星灶3例。结论 CT在肺癌性空洞和肺结核性空洞的诊断和鉴别诊断中发挥重要的价值。Objective To explore and analysis the feature of pulmonary tuberculous cavity and lung cancer cavity on CT,and improve the level of differential diaguosis. Methods The CT manifestation of pulmonary tuberculous cavity and lung cancer cavity were retrospectively analyzed,evaluate the feature of the wall and around. Results 30 cases who with pulmonary tuberculous,22 cases with thin wall and 8 cases with thick walt, 12 cases have satellite lesions,9 cavities were eccentric,7 cases have nnde,6 eascs have bur,5 cases have mediastinal lymph node enlargement;30 cases who with lung cancer,23 cases with thick wall and 7 cases with thin wall,26 cavities were eccentric,24 cases were lobulated,20 cases have mediastinal lymph node enlargement, 19 cases have pleural tag, 13 cases have vessel convergence,8 cases have pleual effusion,3 cases have satellite lesions. Condusion CT play an important role in the differential diagnosis of pulmonary tuberculous cavity and lung cancer cavity.

关 键 词：肺结核 肺癌 空洞 CT 鉴别诊断 

分 类 号：R521[医药卫生—内科学] R734.2[医药卫生—临床医学]