胸部结节病CT影像诊断及临床应用  

CT imaging for diagnosis of thoracic sarcoidosis

作　　者：杨林根[1] 饶志远[1] 吴贵华[1] 刘昌华[1] 耿方明[1] 

机构地区：[1]解放军174医院放射科,福建厦门361003

出　　处：《医疗卫生装备》2015年第9期87-89,共3页Chinese Medical Equipment Journal

摘　　要：目的 :探讨胸部结节病的CT表现,提高对该病的认识和诊断水平。方法 :回顾性分析经活检病理证实(15例)或临床治疗后观察符合诊断标准(5例)的20例胸部结节病的CT表现。结果:该研究病例中90%患者胸部CT表现为肺门或纵隔淋巴结肿大,60%表现为肺内结节影,20%表现为肺纤维化改变,15%表现为支气管血管束增粗,10%表现为胸膜改变,15%表现为小叶间隔增厚,10%表现为磨玻璃影,5%表现为肺实变。结论:胸部结节病CT表现形式多种多样,具有一定的影像特征性及演变规律,有助于提高对胸部结节病诊断正确率。Objective To investigate the CT findings of thoracic sarcoidosis and improve the understanding and diagnostic level of the disease. Methods Retrospective analysis of the pathology or clinical treatment were observed in 20 patients with thoracic sarcoidosis accorded with the diagnostic standard of CT performance. Results There were 15 cases confirmed by pathology and 5 cases verified after clinical treatment. There were hilar or mediastinal lymph nodes in 90% cas-es, pulmonary mainly nodules in 60% case, pulmonary fibrosis in 20% cases, bronchovascular bundle thickening in 15%cases, pleural effusion in 10% cases, interlobular septal thickening in 15% cases, ground-glass opacity in 10% cases and pulmonary consolidation in 5% cases.Conclusion CT findings of thoracic sarcoidosis may help improve the rate of its diagnosis.

关 键 词：胸部 结节病 CT 

分 类 号：R816.4[医药卫生—放射医学] R563[医药卫生—临床医学]