支气管扩张症碘油造影与HRCT诊断比较（附26例对照研究）  

Comparison of Lipiodol Bronchography and HRCT for Diagnosing Bronchiectasis （ Study of 26 Cases）

作　　者：赵泽钢[1] 谢汝明[1] 吕岩[1] 周新华[1] 

机构地区：[1]首都医科大学附属北京胸科医院放射科,北京101149

出　　处：《结核病与胸部肿瘤》2011年第2期121-124,共4页Tuberculosis and Thoracic Tumor

摘　　要：目的比较支气管碘油造影和HRCT在支气管扩张症中的诊断价值。方法对照分析支气管碘油造影和HRCT在26例支气管扩张症患者中的表现异同。结果26例支气管扩张病例中碘油造影诊断76．9％，而HRCT诊断100％（P〈0．05）。碘油造影在显示支气管壁僵硬和管壁不规则方面优于HRCT（P〈0．01），而HRCT在显示支气管壁增厚和段及亚段以及远端支气管扩张方面优于造影。对于轻度支气管扩张者，碘油造影在其他部位相同分支级别对比下显示较为直观，但MPR重建可以弥补不足。结论HRCT可做为支气管扩张症的首选诊断方法，支气管扩张症碘油造影多作为补充检查方法。objective To evaluate the value of the lipiodol bronchography and high resolution computerized tomography （ HRCT ） in the diagnosis of bronchiectasis. Methods Both lipiodol bronchography and HRCT were performed in 26 cases with bronchiectasis, the similarities and differences of characteristics were analyzed. Results The diagnostic rate was 76.9% in lipiodol bronchography and 100% in HRCT among 26 cases. Lipiodol bronchography was better in the performance of bronchial wall irregularly and stiffly than that of HRCT （P〈 0.01）. However, HRCT was better in the performance of bronchial wall thickening and bronchodilation of pulmonary segment and subsegment than that of lipiodol bronchography. For mild bronchiectasis, lipiodol bronchography was more visual with contrast of the display in other parts of the same level bronchus than that of HRCT. But multiplanar reformations （MPR） in HRCT can make up for these deficiencies. Conclusion HRCT should he considered as the first choice for diagnosing bronchiectasis, the lipiodol bronchography is often used as the secondary choice for examination.

关 键 词：支气管扩张症 碘化油 支气管造影术 体层摄影术 X线计算机 病例对照研究 

分 类 号：R562.220.5[医药卫生—呼吸系统]