| 肖振平,黎庶,喻新茹,徐克.原发性干燥综合征肺部病变的HRCT表现[J].中国医学影像技术,2006,22(2):254~256 |
| 原发性干燥综合征肺部病变的HRCT表现 |
| High-resolution CT f indings of lung diseases with primary Sj?gren’s syndrome |
| 投稿时间：2005-09-10 修订日期：2005-11-09 |
| DOI： |
| 中文关键词: 干燥综合征 肺 体层摄影术,X线计算机 |
| 英文关键词:Sjogren's syndrome Lung Tomography , X-ray computed |
| 基金项目: |
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| 中文摘要: |
| 目的 评价原发性干燥综合征肺部病变的HRCT 表现。方法 回顾分析38 例确诊为原发性干燥综合征的胸部HRCT 表现,观察病变的分布特点及影像特征。结果 原发性干燥综合征的肺部HRCT 表现,以小气道病变表现为主的6 例(15. 8 %) ,包括细支气管扩张、支气管管壁增厚及“小树芽征”等征象;间质性肺部表现20 例(52. 6 %) , 主要征象为小叶间隔增厚、线条样影、多发气囊影、磨玻璃影及网格影等;混合病变12 例(31. 6 %) ,病变以双肺下野、外周分布为主。结论 原发性干燥综合征的肺部病变HRCT 表现以小气道及肺间质病变为主,HRCT 是评价原发性干燥综合征的肺部病变的敏感方法,为临床提供了更可靠诊断的依据。 |
| 英文摘要: |
| Objective To evaluate the HRCT findings of lung diseases with primary Sj?gren’s syndrome. Methods Thirty-eight patient s with primary Sj?gren’s syndrome were analyzed by HRCT images to describe the HRCT patterns , lesion dist ri-bution and the characters of HRCT manifestations. Results Six cases (15. 8 %) showed small airways diseases , includingbronchiectat sis , bronchiolar wall thickening and t ree-in-bud pattern. Twenty cases (52. 6 %) showed interstitial lung disea-ses , including interlobular septal thickening , linear parenchymal opacities , multiple cystic air spaces , ground-glass opacities ,and reticular pattern. The mixed lesions which included bronchiolar abnormalities and parenchymal change were 12 cases(31. 6 %) . The most of lesion were located in the lower lung zones and were dist ributed in the peripheral areas. Conclusion Small airways abnormality and interstitial lung disease are common abnormal findings seen on HRCT scan in primarySj?gren’s syndrome. HRCT is a sensitive technique in assessing lung diseases associated with primary Sj?gren’s syndrome andoffers amore valuable diagnosis basis. |
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