| 许家琏,李德仁,胡海琍.多种影像检查诊断支气管扩张的作用[J].中国医学影像技术,1999,15(11):874~876 |
| 多种影像检查诊断支气管扩张的作用 |
| Role of Various Image Examinations in Diagnosis of Bronchiectasis |
| 投稿时间：1999-06-10 |
| DOI： |
| 中文关键词: 支气管扩张 胸部放射摄影术 断层摄影术,X线计算机 |
| 英文关键词:Bronchiectasis Thoracic radiography Tomography X-ray computer |
| 基金项目: |
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| 中文摘要: |
| 目的 评价各种影像检查在支气管扩张诊断中的作用及互补性、优选性。方法 结合手术和病理观察,分析41 例支气管扩张患者的影像学资料。结果 X 线平片显示出多种影像学表现；支气管造影阳性率高达90.9 % ,与手术和病理结果符合率达72.7% ;胸部CT 诊断阳性率为84.0% ,与手术和病理结果相一致为56.0 % .结论 支扩的X 线影像特点与病理所示支扩性质及其并发症具有一致性；支气管碘油造影和胸部CT 能明确提示支扩的部位和范围,前者阳性率更高,诊断遗漏较少；但CT 能显示双侧支气管影像,薄层CT可明显提高诊断率。 |
| 英文摘要: |
| Purpose To investigate the position, complementarity and superiority of various image examinations in diagnosis of bronchiectasis. Methods We analyzed image data in 41 cases of bronchiectasis by comparison with its findings on operation and pathology. Results Various kinds of image manifestations were presented on plain chest films of the cases. The positive rates of bronchography and chest computed tomography (CT) for bronchiectasis were 90.9% and 84.0% respectively. As to diagnosis of the localization and area of bronchiectasis, about 72.7% of the findings by bronchography and 56.0% of those by CT were consistent with those on operation and pathology. Conclusions X-ray image characteristics of bronchiectasis were coincident with pathological findings of the disease and its complications. Bronchography and CT could supply information on its localization and area. The former had higher sensitivity and less rate of missed diagnosis,but the latter could reveal bilateral bronchiectasis and thin-sliced CT could improve its diagnostic rate significantly. |
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