康复期SARS患者HRCT复查的价值  

Value of HRCT in Patients with SARS Following Hospital Discharge

作　　者：黄勇[1] 王继琛[1] 王仁贵[1] 蒋学祥[1] 

机构地区：[1]北京大学第一医院医学影像科,北京100034

出　　处：《中国医学影像技术》2003年第12期1621-1623,共3页Chinese Journal of Medical Imaging Technology

摘　　要：目的　了解经临床确诊为SARS的患者治疗痊愈后其肺内残留改变及HRCT的价值。方法　对 2 2例临床确诊为SARS经治疗后痊愈出院的患者行HRCT扫描复查。结果　首次HRCT扫描显示 2 2例患者中 10例肺内有异常改变 ,包括磨玻璃影、小叶间隔增厚。 12例未见异常改变。 10例首次复查异常的患者中 ,有 8例 8周后进行了第二次复查 ,HRCT显示病灶较前缩小、数量减少。结论　SARS患者治愈后HRCT扫描可显示肺内残留肺间质异常改变 ,表现为磨玻璃影及小叶间隔增厚 ;短时间复查病变较前缩小。HRCT是发现该改变敏感的影像学方法。Objective To report the findings and value of high resolution computed tomographic (HRCT) in patients with severe acute respiratory syndrome (SARS) who cured clinically after treatment. Methods Twenty-two patients with SARS who cured clinically after treatment following up with HRCT. Results First HRCT showed parenchymal abnormality in 10 of 22 patients, common findings including ground-glass opacity, interlobular septum and intralobular interstitial thickening. Eight of 10 patients with abnormal findings were performed following-up HRCT examination after 8 weeks, HRCT showed size and number of lesions were decreased. Conclusion HRCT features of SARS following hospital discharge are ground-glass opacity, interlobular septum and intralobular interstitial thickening. The lesions are lessening in short-time following up. HRCT is sensitive technique to find this alteration.

关 键 词：重症急性呼吸道综合征 肺间质纤维化 计算机体层摄影术 高分辨率 康复期 SARS 复查 HRCT扫描 

分 类 号：R814.42[医药卫生—影像医学与核医学] R563.1[医药卫生—放射医学]