| 尤小芳,史景云,邵江,孙兮文.弥漫性泛细支气管炎的CT表现[J].中国医学影像技术,2009,25(4):623~625 |
| 弥漫性泛细支气管炎的CT表现 |
| CT manifestations of diffuse panbronchiolitis |
| 投稿时间：2008-08-29 修订日期：2008-12-24 |
| DOI： |
| 中文关键词: 弥漫性泛细支气管炎 体层摄影术,X线计算机 |
| 英文关键词:Diffuse panbronchiolitis Tomography, X-ray computed |
| 基金项目: |
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| 中文摘要: |
| 目的 提高弥漫性泛细支气管炎的CT诊断及鉴别诊断能力。 方法 回顾性分析我院2001年—2007年收治的83例弥漫性泛细支气管炎的CT表现。 结果 77例表现为两肺弥漫分布,5例为两肺野内散在斑片状分布,1例局限于两肺下叶。83例均见小叶中心小结节,部分伴有树芽征; 54例细支气管扩张,伴有管壁不规则增厚,9例扩张的细支气管内可见黏液栓塞;38例见周围性空气潴留;36例见斑片状影,2例合并右肺中叶不张;肺间质纤维化7例,肺动脉高压7例,合并胸腺瘤和肺癌各1例。 结论 CT是诊断弥漫性泛细支气管炎的重要依据,结合临床有助于鉴别诊断。 |
| 英文摘要: |
| Objective To improve cognition for CT manifestations of diffuse panbronchiolitis (DPB). Methods CT manifestations of 83 patients with DPB were retrospectively analyzed. Resultes CT revealed bilateral, diffuse lesions in 77 cases, patchy distribution in 5 cases, and in 1 case the nodules localized in both lower lobes. The main CT manifestations of DPB were as following: centrilobular nodule shadow, accompanied with tree-in-bud sign (n=83), bronchiectasis with thick walls (n=54), mucus plugging (n=9), peripheral air-trapping (n=38), patchy distribution of parenchymal consolidation or ground-glass opacity (n=36) with right middle lobe atelectasis in 2 of them, and other signs including complicated with pulmonary interstitial fibrosis or pulmonary hypertension (each n=7), as well as thymoma or adenocarcinoma (each n=1). Conclusion CT plays an important role in the diagnosis of DPB, being useful in differentiating from other diseases. |
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