肺部弥漫性病变的HRCT诊断  

HRCT diagnosis of diffuse lung lesions

作　　者：甘雄辉(综述) 黄民顺(综述) 刘铁军(审校)[1] GAN Xiong-hui;HUANG Min-shun;LIU Tie-jun(Department of Radiology,Liuzhou People's Hospital,Liuzhou 545006,Guangxi,CHINA)

机构地区：[1]柳州市人民医院放射科,广西柳州545006

出　　处：《海南医学》2020年第12期1600-1604,共5页Hainan Medical Journal

摘　　要：引起肺部弥漫性病变病因种类繁多,临床实验室检查常无特异性,影像表现也多为相似,所谓的"异病同影",或"同病异影",因此临床及影像上诊断一直是个难题。本文就对肺部弥漫性病变的常见疾病、一些特殊影像征象、诊断思路、以及结合国内外相关文献做一总结,旨在提高对该病的认识。高分辨CT (HRCT)是肺部弥漫性病变的主要检查手段,影像-临床-病理科室的协作是提高正确诊断率的保障。Diffuse lung lesions consist of a diverse group of disorders caused by many etiologies,and these disorders often show no specificity for clinical laboratory tests because of similar radiographic manifestations,which is so-called different disease with the similar shadow or different shadow with the same disease.Therefore,clinical and imaging diagnosis has always been a problem.In this paper,the common diseases,some special imaging signs,and the diagnostic ideas of diffuse lung lesions were summarized with combining the related literatures at home and abroad,aiming at raising the awareness of the disease.Hight-resolution computed tomography(HRCT)is the main method to detect diffuse lung lesions.The cooperation of clinic-imaging-pathology departments is the guarantee to improve the correct diagnosis rate.

关 键 词：肺部弥漫性病变 病因 影像征象 诊断 高分辨CT 

分 类 号：R455[医药卫生—运动医学]