煤工尘肺HRCT的形态学表现及诊断价值研究  

The Study on the Practical Value and Morphologic Expression of HRCT in theDiagnosis of Coal Miner′s Pneumoconiosis

作　　者：刘培成[1,2] 张盾[1,2] 吴纯 苏汉新[1,2] 蔡桂萍 陈静波[1,2] 窦红 

机构地区：[1]新疆煤矿总医院医学影像科 [2]乌鲁木齐矿务局职业病研究所

出　　处：《实用放射学杂志》1999年第1期9-12,共4页Journal of Practical Radiology

摘　　要：目的：探索煤工尘肺的ＨＲＣＴ特征。方法：１２４例煤工尘肺作肺部常规ＣＴ，然后在主动脉弓顶、隆突水平、气管分叉下３ｃｍ右膈上２ｃｍ及重点兴趣区加作ＨＲＣＴ，对其图像表现进行研究。结果：本组１２４例煤工尘肺ＨＲＣＴ清晰地显示了肺小叶间隔增厚、小叶核心改变及小叶间质增厚、尘肺结节、各型肺气肿和大阴影等病变的特征。结论：ＨＲＣＴ对显示煤工尘肺微细病变的多种形态学表现极有帮助。Objective:To explore the HRCT features of coal miner′s pneumoconiosis.Methods:124 cases of coal miner were first examined by routine CT scan followed by HRCT examination at top of aortic arch,carina of trachea,3 cm below the bifurcation of bronchi and 2 cm above the right diaphragm as well as other interesting regions.Their CT features were studied.Results:The features including thickening of interlobular septum,centrilobular changes and thickening of intralobular interstitium,nodule,emphysema and large shadows were clealy displayed on HRCT in 124 cases.Conclusion:HRCT is helpful in showing the different morphologic expressions of delicate texture of coal miner′s pneumoconiosis,HRCT is important in the differential diagnosis of coal miner′s pneumoconiosis.

关 键 词：尘肺 煤矿工人 诊断 HRCT 形态学 

分 类 号：R598.204[医药卫生—内科学] R816.41[医药卫生—临床医学]