胸部结节病的CT表现  

CT findings of thoracic sarcoidosis

作　　者：黄辛尚 刘兰培[2] 

机构地区：[1]山西省一○九医院CT室,太原市030006 [2]山西省人民医院CT室

出　　处：《实用医学影像杂志》2004年第1期18-20,共3页Journal of Practical Medical Imaging

摘　　要：目的分析胸部结节病的CT表现,探讨其CT扫描和诊断价值。方法13例胸部CT扫描患者,均在深吸气状态下摄片。在常规深吸气后屏气进行CT扫描,观察胸部淋巴结,肺部病变及胸膜病变。结果13例均有胸部淋巴结增大,其中9例对称性两侧肺门淋巴结增大伴纵隔淋巴结增大,3例纵隔淋巴结增大伴单侧肺门淋巴结增大,1例仅有纵隔淋巴结增大而无肺门淋巴结增大。胸部病变有8例,占所有病例61.52%,表现为肺内多发结节,其中,3例伴肺内斑片状实变影,2例伴肺组织纤维化。胸膜病变仅1例,表现为胸膜多发小结节伴胸腔积液。结论CT扫描是诊断结节病和鉴别诊断结节病的非常有效的方法,明显优于胸片。Objective To evaluate the CT findings of thoracic sarcoidosis. Methods In 13 patients,inspiratory chest X-ray films were performed. The CT findings were analyzed and compared with that of X-ray films. Results Enlarged thoracic lymph nodes were detected in all cases, 9 of them presented mediastinal lymph node enlargement associated with bilateral hilar lymph node enlargement, 3 of them had mediastinal lymph node enlargement and unilateral hilar lymph node enlargement, and 1 of them had mediastinal lymph node enlargement without hilar lymph node enlargement. In these cases, 8 had pulmonary abnormalities which showed multiple pulmorary nodes, 3 of them had patchy pulmonary shadows, and another 2 had pulmonary fibrosis. pleural lesions included 1 hydrothorax and multiple pleural nodes. Conclusion CT scans are very useful for the diagnosis and differential diagnosis of thoracic sarcoidosis.

关 键 词：结节病 体层摄影术 肺 

分 类 号：R816.4[医药卫生—放射医学]