恶性胸膜间皮瘤与结核性脓胸的CT征象分析  

The Analysis of Computed Tomography Features in Malignant Pleural Mesothelioma and Tuberculous Empyema

作　　者：丁仁厚[1] 赵新骞[1] 张鹏[1] 唐亮[1] 刘连荣[1] 

机构地区：[1]天津市海河医院放射科,300350

出　　处：《临床放射学杂志》2013年第5期635-638,共4页Journal of Clinical Radiology

摘　　要：目的探讨CT对恶性胸膜间皮瘤与结核性脓胸的诊断和鉴别诊断价值。方法回顾性分析22例恶性胸膜间皮瘤及50例结核性脓胸患者的CT检查资料,评估CT对恶性胸膜间皮瘤与结核性脓胸的诊断和鉴别诊断价值。结果恶性胸膜间皮瘤组与结核性脓胸组对比,规则性胸膜增厚、结节状胸膜增厚、肿块状胸膜增厚、环形胸膜增厚、叶间裂胸膜受累、纵隔胸膜受累及患侧胸廓体积缩小等影像学征象发生率二者差异均具有统计学意义(P=0.000～0.03)。胸腔积液严重程度、纵隔淋巴结肿大、肺内受累及胸壁受累等影像学征象发生率两组之间未发现统计学差异(P=0.123～1.00)。结论胸膜增厚的形态学特点及患侧胸廓体积缩小等影像学征象有助于恶性胸膜间皮瘤与结核性脓胸的鉴别诊断。Objective To explore the usefulness of CT in the diagnosis and differential diagnosis of malignant pleural mesothelioma（MPM） and tuberculous empyema. Methods The CT images of 72 patients with pleural disease （ MPM 22, tuberculous empyema 50） were reviewed retrospectively and the differential diagnosis value of and MPM and tuberculous empyema with CT was also evaluated. Results The incidence of regular pleural thickening, nodular pleural thickening, mass pleural thickening, rind-like pleural thickening, interlobular pleural thickening , mediastinal pleura1 involvement and The volume of affected side thoracic decrease had significant differences（ P = 0. 000 ~ 0.03） between two groups. No sig- nificant differences were found between MPM and tuberculous empyema groups（P =0. 123 -1.00） in extent of pleural ef- fusion, mediastinal lymphadenectasis, lung and chest involvement. Conclusion Morphology characteristics of pleural 1 esions and CT features of the volume of affected side thoracic decrease is helpful in the differential diagnosis of MPM and tuberculous empyema.

关 键 词：胸膜疾病 体层摄影术 X线计算机 

分 类 号：R734.3[医药卫生—肿瘤]