肺内空洞性病变的影像表现及鉴别诊断  

Imaging Findings and Differential Diagnosis of Lung Cavitary Lesions

作　　者：梁玉鑫[1] 彭勋[1] 李彬[1] 吴玉杰[1] 郑岳[1] 赵宇明[1] 

机构地区：[1]秦皇岛市第三医院放射科,河北秦皇岛066000

出　　处：《中国医疗设备》2014年第4期164-165,共2页China Medical Devices

摘　　要：目的通过总结分析各种肺内空洞性病变的影像表现,为临床诊断和鉴别肺内空洞性病变提供理论依据。方法选择本院经影像学、查痰、穿刺、病理诊断证实的186例肺内空洞性病变患者,评价各种疾病引起的肺内空洞性病变的影像学特点。结果经诊断发现肺结核63例、肺癌46例、肺脓肿38例、肺曲霉菌病39例;单发空洞128例(肺上叶72例,肺中下叶56例),两肺并发空洞58例。结论 X线和CT对肺内空洞性病变的诊断具有重要的临床价值,临床医生应全面综合考虑影像学资料,把握不同空洞性病变的临床影像学特点,提高诊断准确率。Objective By analyzing and summarizing a variety of imaging ifndings of pulmonary cavitary lesions to provide a theoretical basis for clinical diagnosis and differential diagnosis of lung cavitary lesions. Methods Selected 186 cases of pulmonary cavitary lesions confirmed by imaging, sputum, puncture and pathological diagnosis in our hospital and evaluated the imaging features of various diseases caused by pulmonary cavitary lesions. Results After diagnosis, we found 63 cases of tuberculosis;46 cases of lung cancer;38 cases of abscess;39 cases of pulmonary aspergillosis, 128 cases of single cavity （72 cases of upper lobe, 56 cases of lung lower lobe） and 58 cases of both lungs coincided with cavity. Conclusion X-ray and CT have important clinical value in the diagnosis of pulmonary cavitary lesions. Clinicians should consider a comprehensive imaging data to grasp the different clinical imaging features of cavity lesions to improve diagnostic accuracy.

关 键 词：肺内空洞性病变 肺结核 肺癌 肺脓肿 CT检查 X线摄片 

分 类 号：R814.42[医药卫生—影像医学与核医学] R563[医药卫生—放射医学]