肺部多发空洞性病变的CT诊断  

CT diagnosis of intrapulmonary multiple cavitary lesions

作　　者：杨欣[1] 杨州[1] 李唯[1] 窦勇[2] 谢一婧[1] 

机构地区：[1]山西医科大学第一医院放射科,山西太原030001 [2]山西省心血管疾病医院CT室

出　　处：《实用医学影像杂志》2011年第3期152-155,共4页Journal of Practical Medical Imaging

摘　　要：目的探讨肺部多发空洞性病变的CT诊断和鉴别诊断。方法回顾性分析42例经病理与临床证实的肺部多发空洞性病变患者的CT征象、病理表现及临床资料。结果感染性病变31例,其中9例肺脓肿,15例肺结核,7例肺真菌感染;非感染性病变11例,其中5例韦格纳肉芽肿,6例肺转移瘤。结论肺部多发空洞性病变CT表现各具特点,密切结合临床表现和相关实验室检查是诊断和鉴别诊断的关键。Objective To study CT diagnosis and differential diagnosis of intrapulmonary multiple cavitary lesions（IPMCLs）.Methods CT findings,pathological features and clinical data of 42 patients with pathologically and clinically proved IPMCLs were analyzed retrospectively.Results Among 42 patients,the infectious diseases were found in 31 cases,which comprised lung abscess（n=9）,tuberculosis（n=15）,and pulmonary fungal infection（n=7）;the noninfectious diseases were found in 11 cases,which comprised Wegner granulomatosis（n=5） and pulmonary metastasis（n=6）.Conclusion Different types of IPMCLs have separate features.CT scan combined with clinical manifestations and correlative laboratory tests should be a key point for diagnosis and differential diagnosis of IPMCLs.

关 键 词：肺内多发空洞 肺结核 肺脓肿 肺转移瘤 体层摄影术 X线计算机 

分 类 号：R563.9[医药卫生—呼吸系统] R816.41[医药卫生—内科学]