高分辨率CT鉴别诊断肺内多发小结节的价值分析  

Value of High Resolution CT in Differential Diagnosis of Multiple Small Pulmonary Nodules

作　　者：李力[1] 宋喜明[1] 唐艳军 赵钒宇[1] Li Li;Song Ximing;Tang Yanjun;Zhao Fanyu(Department of radiology,anyang people's hospital,455000)

机构地区：[1]安阳市人民医院放射科,河南安阳455000

出　　处：《辽宁医学杂志》2019年第6期49-51,共3页Medical Journal of Liaoning

摘　　要：目的探讨高分辨率CT鉴别诊断肺内多发小结节的价值分析。方法随机选取我院2017年2月-2018年2月肺内多发小结患者共60例,探讨其使用高分辨率CT的分布特征。结果肺内多发小结的局部分布特点分为小叶中心分布、随机分布、局部淋巴管四周分布。依据肺内多发小结的特征分布范围研究出肺结核、肺血行性转移性肿瘤、细支气管肺泡癌小结节、淋巴管癌性结节等病症,当中粟粒性肺结核、肺血行性转移性肿瘤、肺泡癌性小结局部呈随机无序分布。支气管性肺结核则呈现在小叶中心周围分布。结论使用高分辨率CT诊治的患者其诊断率比较准确且检出率比较高。Objective To explore the value of high resolution CT in differential diagnosis of multiple pulmonary nodules.Methods A total of 60 patients with multiple pulmonary nodules in our hospital from February 2017 to February 2018 were randomly selected to investigate the characteristic distribution of high resolution CT.Results Local distribution of multiple nodules in the lungs can be divided into central distribution of lobules,random distribution and peripheral distribution of local lymphatics.According to the characteristics of multiple pulmonary nodules,pulmonary tuberculosis,pulmonary metastatic hematogenous tumors,bronchiolar nodules of alveolar cancer,lymphangiocarcinomas and other diseases were studied.The local distribution of pulmonary tuberculosis miliary,pulmonary metastatic hematogenous tumors and pulmonary alveolar cancerous nodules was random and disorderly.Pulmonary tuberculosis bronchus showed central distribution around lobules.Conclusion The diagnostic rate of patients diagnosed and treated by high resolution CT is more accurate and the detection rate is higher.

关 键 词：高分辨率CT 肺内多发小结节 诊断 

分 类 号：R563[医药卫生—呼吸系统] R816.4[医药卫生—内科学]