多层螺旋CT对弥漫性泛细支气管炎的诊断价值  

Diagnostic value of multislice computerized tomography in diffuse panbronchiolitis

作　　者：倪国才[1] 罗帝林[1] 黄高孙[1] 

机构地区：[1]广州医学院附属深圳沙井医院放射科,广东深圳518000

出　　处：《海南医学院学报》2012年第4期559-561,565,共4页Journal of Hainan Medical University

基　　金：中国高校医学期刊临床专项资金项目(112210113)~~

摘　　要：目的:提高弥漫性泛细支气管炎多层螺旋CT(MSCT)的诊断及鉴别诊断能力。方法:回顾性分析25例临床或病理证实的弥漫性泛细支气管炎患者的临床、病理及MSCT检查资料。结果:弥漫性泛细支气管炎主要胸部CT表现:(1)弥漫性细粟粒样影伴树芽征占84%(21/25);(2)小支气管扩张占68%(17/25),伴有小支气管壁增厚16例,合并有黏液栓3例;(3)炎性斑片状实变影占56%(14/25),多局限于单肺叶;(4)肺间质纤维化占16%(4/25);(5)小空洞占12%(3/25)。有副鼻窦炎病史22例(88%),最常累及上颌窦。结论:弥漫性泛细支气管炎MSCT表现有一定特征性,结合副鼻窦炎病史有助于诊断及鉴别诊断,病理学检查以明确诊断。Objective： To explore the value of multislice computerized tomography（MSCT）in diagnosis and differentiation of diffuse panbronchiolitis（DPB）.Methods：Clinical data of 25 cases with clinically or pathologically proved DPB were analyzed retrospectively,including clinical,pathological and MSCT data.Results：The CT results revealed：（1）84%（21/25）showed diffuse miliary pulmonary opacities accompanied by tree-in-bud sign;（2）68%（17/25） had small airway bronchiectasis,accompanied by bronchial wall thickening in 16 cases,emboli of bronchial mucus in 3 cases;（3）56%（14/25）had small inflammatory patching signs,mostly in single lode;（4）16%（4/25）had mesenchyme fibnosis of pulmonary;（5）12%（3/25） had small cavity.There were 22 cases with chronic paranasal rhinitis（88%）,especially in maxillary sinus.Conclusions：MSCT imaging of DPB has its own characteristics,which are helpful in diagnosis and differentiation as combined with medical history of paranasal rhinitis.

关 键 词：弥漫性泛细支气管炎 肺 体层摄影术 X线计算机 

分 类 号：R562.21[医药卫生—呼吸系统] R445[医药卫生—内科学]