支气管内膜结核的CT表现  

作　　者：赵新骞[1] 王继刚[1] 吴迪[1] 

机构地区：[1]天津市海河医院放射科,45300350

出　　处：《当代医学》2012年第27期45-46,共2页Contemporary Medicine

摘　　要：目的探讨支气管内膜结核的CT表现。方法回顾性分析收治的27例支气管内膜结核患者的MDCT表现,总结其病变特点。结果本组病例中,共有21处病灶累及双肺上叶、右肺中叶,CT表现多为支气管壁增厚、管腔狭窄,并伴有肺不张或干酪性肺炎。9例(33%)可见支气管播散灶,12例(44%)可见其他肺内结核表现,6例(22%)有纵隔及肺门淋巴结肿大。结论 高分辨率CT扫描对支气管内病变的评价有重要价值。CT检查和纤维支气管镜检查在临床应用中应互为补充,以进一步提高诊断的准确率。Objective To discuss the CT appearance of endobronchial tuberculosis. Methods Retrospective analysis the CT appearance of the 27 patients, and summarize the character of these cases. Results most of these cases were happened in upper lobe and middle lobe. CT appearance of these cases are bronchial thickness and luminal narrowing, atelectasis, caseous pneumonia in mostly cases, and bronchial spreading, other pulmonary tuberculosis manifestations and Mediastinal lymph nodes Enlargement in partly cases. Conclusion CT, especially HRCT, is very valuable in the evaluation of endobronchial tuberculosis. CT and bronchoscopy should be complementary so as to improve the accuracy of diagnosis.

关 键 词：支气管内膜结核 CT 高分辨率 

分 类 号：R521.2[医药卫生—内科学]