恶性胸腔积液的CT诊断  

CT in Diagnosis of Malignant Pleural Effusion

作　　者：蔡欣[1] 谢念危[1] 曾庆思[1] 邓韶铭[1] 林翰菲[1] 何建勋[1] 

机构地区：[1]广州医学院第一附属医院放射科,510120

出　　处：《现代医用影像学》2001年第5期201-204,共4页Modern Medical Imageology

摘　　要：目的 :探讨恶性胸腔积液的CT表现特点 ,及CT在恶性胸腔积液诊断中的应用价值。材料与方法 :分析 5 6例经手术、病理、胸水等证实的恶性胸腔积液的CT征象。结果 :恶性胸腔积液的特征性CT表现为胸膜的明显增厚。其形态改变有一定特点 ,可分为四型。但CT对无或仅有轻度胸膜增厚的恶性胸腔积液的诊断仍较困难。结论 :CT是诊断恶性胸腔积液的重要检查方法之一 ,可清楚显示胸膜增厚的范围及程度 。Purpose:The CT features of malignant pleural effusion have been discussed.The value of CT in the diagnosis of malignant pleural effusion were also described.Materials and Methods:The CT findings of 56 patients with malignant pleural effusion proved by operation pathology and pleural fluid have been studied.Results:The specific CT signs of malignant pleural effusion shown the pleura thickening clearly.The shape of the pleura can be characterized into 4 types.However,It is difficult to diagnose the malignant pleural effusion without or with limited pleura thickening by CT.Conclusion:CT is one of the important methods to distinguish the malignant pleural effusion,and the scope and extension of the pleura thickening can be presented on it clearly.The later feature is a valuable CT sign in differential diagnosis.

关 键 词：恶性胸腔积液 CT 诊断 

分 类 号：R730.44[医药卫生—肿瘤] R561.3[医药卫生—临床医学]