肺结核瘤的MSCT征象分析  

MSCT findings of pulmonary tuberculoma

作　　者：范俊飞 于武江 徐有学 王敏灵 FAN Junfei;YU Wujiang;XU Youxue;WANG Minling(Department of Radiology,Dongsheng Hospital,Zhongshan 528414,China;Department of Radiology ,the Second People＇s Hospital of Lianping County ,Lianping ,Guangdong Province 517139 ,China)

机构地区：[1]中山市东升医院影像科,广东中山528414 [2]连平县第二人民医院放射科,广东连平517139

出　　处：《实用放射学杂志》2018年第4期526-528,共3页Journal of Practical Radiology

摘　　要：目的探讨肺结核瘤的MSCT特征。方法回顾性分析62例临床及病理证实的肺结核瘤的MSCT资料。结果62例肺结核瘤中，单发60例，多发2例，共64个病灶。MSCT表现为圆形、类圆形、鸡蛋形及不规则的结节或肿块，边缘清楚，直径2～3cm，空洞31例，钙化25例，胸膜凹陷征45例，胸膜尾征12例。结论肺结核的典型MSCT特征，如肿块内多发斑片状钙化、全瘤钙化及偏肺门侧新月形空洞等，对疾病的正确诊断有临床价值。Objective To explore MSCT findings of pulmonary tuberculoma.Methods MSCT data of 62 patients with pulmonary tuberculoma confirmed by clinical and pathological results were analyzed retrospectively.Results Of the 62 patients,64 lesions were detected with single in 60 cases and multiple in 2 cases. The MSCT signs showed as follows： circumscribed round, oval, egg-like or irregular nodules or masses, size ranging from 2--3 cm, cavity in 31 lesions, calcification in 25 lesions, pleural indentation sign in 45 lesions and pleural tail sign in 12 lesions.Conclusion The MSCT features of pulmonary tuberculoma are relatively specific such as the multiple patch calcifications within mass, calcification of the whole mass and semilunar cavity on the lateral side of the hilum.The MSCT is a valuable examination for the accurate diagnosis of pulmonary tuherculoma.

关 键 词：结核球 肺 计算机体层成像 

分 类 号：R734.2[医药卫生—肿瘤] R814.42[医药卫生—临床医学]