弥漫性胸膜疾病的临床影像特征  

Clinical imaging features of diffuse pleural disease

作　　者：黄洁[1] 惠志强[1] 李延[1] 

机构地区：[1]西安市第一医院呼吸科,陕西西安710002

出　　处：《临床肺科杂志》2013年第6期1012-1013,共2页Journal of Clinical Pulmonary Medicine

摘　　要：目的探讨弥漫性胸膜病变(DPD)的CT影像特征,方法分析经临床、手术及病理或胸膜活检证实的90例DPD的CT征像。其中,恶性病变36例,良性病变54例。结果 (1)36例恶性病变的CT特征为结节状胸膜增厚、环状胸膜增厚、壁层胸膜增厚超过10 mm及纵膈胸膜受累。此四种胸膜改变的特异性为100%、96%、91%和89%,敏感性分别为72%、53%、67%和47%。(2)54例良性病变的CT特征为带状胸膜增厚、线状粘连胸膜增厚及胸膜钙化。此三种胸膜改变的特异性为100%、100%和97%。结论 CT有助于了解DPD的内部结构及毗邻关系,对胸膜病变的良、恶性鉴别诊断有重要价值。Objective To investigate the CT characteristics of diffuse pleural disease. Methods The CT findings of 90 patients with diffuse pleural disease were retrospectively analyzed, which included 36 malignant cases and 54 benign cases. Results （1 ） The CT findings of malignant cases were nodular pleura thickening, crico-pleura thickening, parietal pleural thickening greater than 10 mm and mediastinal pleural involvement. Their specificlties were 100%, 96%, 91% and 89%, and their sensitivities were 72%, 53%, 67% and 47% respectively. （2） The CT features of benign cases included beher-like pleura thickening, string-shape stick pleura thickening and calcification. Their specificlties were 100%, 100% and 97% respectively. Conclusion CT scan is helpful to observe the internal composition and adjacent relation of patients with diffuse pleural disease. Therefore, it has an important value in the differential diagnosis of patients with malignant or benign diffuse pleural disease.

关 键 词：弥漫性胸膜病变 影像特征 鉴别诊断 

分 类 号：R655.2[医药卫生—外科学]