气管弥漫性狭窄  

Diffuse Narrowing of Trachea

作　　者：李润明[1] 陈君宏[1] 于伟利[1] 王丽华[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,710004

出　　处：《实用放射学杂志》1999年第9期527-530,共4页Journal of Practical Radiology

摘　　要：目的：评价 Ｘ 线检查在气管弥漫性狭窄诊断中的价值和不同原因所致气管狭窄的 Ｘ 线特征。方法： 收集了１２ 例资料完整的气管弥漫性狭窄，对其临床和 Ｘ 线表现进行回顾性分析。包括３ 例坏死性肉芽肿；３ 例复发性多软骨炎；１ 例放疗后气管狭窄；１ 例慢性纵隔炎；１ 例鳞状细胞癌；３ 例剑鞘气管。结果：不同原因引起的气管弥漫性狭窄有各自特征性的一组临床表现，虽然 Ｘ线共同特点为气管弥漫性狭窄，但狭窄好发部位，细节改变，其它易犯器官及其表现明显不同。结论：选择性 Ｘ 线检查仍为发现和确定气管狭窄的一种基本方法，详细的 Ｘ 线表现，结合临床基本上可以做出鉴别诊断。Objective:To evaluate X-ray diagnostic value and characteristic findings of diffuse tracheal narrowing due to different causes.Methods:12 cases of diffuse tracheal narrowing confirmed by clinical history and pathology were analysed retrospectively.Among them,3 were Wegener granulomatosis,3 were relapsing polychondritis,1 was post-radiation therapy,1 was chronic mediastinitis,1 was squamous cell carcinoma,3 were sheath trachea.Results:There were charateristic symptoms and signs of the patients suffered from different diseases.The common X-ray features of this disease were diffuse tracheal narrowing,but the site of narrowing,detailed changes of tracheal pattern and X-ray features of other involved organs were different apparently.Conclusion:Coventional X-ray examnation is still a basic method for detecting and determining tracheal narrowing.According to X-ray features and clinical apparences,most of tracheal narrowing can be diagnosed correctly.

关 键 词：气管狭窄 X线诊断 弥漫性 诊断 

分 类 号：R562.210.4[医药卫生—呼吸系统] R816.4[医药卫生—内科学]