孙鹏飞,肖湘生,李惠民,于红,刘士远,张沉石.多层螺旋CT对气管、支气管病变的诊断价值[J].中国医学影像技术,2006,22(12):1815~1818
多层螺旋CT对气管、支气管病变的诊断价值
Diagnostic value of multi-slice spiral CT for tracheobronchial disease
投稿时间:2006-07-11  修订日期:2006-11-05
DOI:
中文关键词:  气管支气管  体层摄影术,X线计算机  图像后处理
英文关键词:Tracheobronchus  Tomography, X-ray computed  Imaging postprocess
基金项目:
作者单位E-mail
孙鹏飞 上海长征医院影像科,上海 200003  
肖湘生 上海长征医院影像科,上海 200003 xsxiao@sh163.net 
李惠民 上海长征医院影像科,上海 200003  
于红 上海长征医院影像科,上海 200003  
刘士远 上海长征医院影像科,上海 200003  
张沉石 上海长征医院影像科,上海 200003  
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中文摘要:
      目的 探讨多层螺旋CT(MSCT)对气管、支气管病变的诊断价值。方法 回顾性分析34例经病理或临床证实的气管、支气管病变的CT表现,比较轴位、MPR、MinP、VR及CTVB对病变征象的显示差异。结果 ①中央气道病变:MSCT后处理技术均能显示气道的异常,以MPR显示管腔狭窄、截断,管壁增厚及管周改变最佳;②周围气道病变:MPR能准确显示病灶与支气管的关系,CTVB可以显示亚段支气管的狭窄、闭塞,但图像模糊,而VR、MinP对其显示不良。结论 MSCT能够有效地评价气管、支气管病变,其有助于肺癌的诊断与鉴别诊断。
英文摘要:
      Objective To investigate the diagnostic value of multi-slice CT for tracheobronchial disease. Methods 34 patients with tracheobronchial lesion undergone chest CT scan and with pathologic or clinic diagnosis were studied retrospectively, the imaging features of lesion on axial image, MPR, MinP, VR and CTVB image were compared. Results ①Central airway disease: CT postprocessing technique can display the abnormity of tracheobronchus, MPR can display ideally the narrowing, cutoff, wall thickness of airway, and peribronchial changes; ②Peripheral airway disease: MPR may demonstrate accurately the relationship of lesion and bronchus. CTVB can display the narrowing and obstruction of subsegmental bronchus, which was not showed clearly by VR, MinP techniques. Conclusion MSCT can evaluate effectively tracheobronchial disease, which is help to the diagnosis and differential diagnosis of primary pulmonary carcinoma.
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