尤小芳,侯准,肖湘生,孙希文.肺内支气管囊肿的CT表现[J].中国医学影像技术,2011,27(8):1610~1613
肺内支气管囊肿的CT表现
CT manifestations of pulmonary bronchogenic cysts
  
DOI:
中文关键词:  支气管源性囊肿  体层摄影术,X线计算机
英文关键词:Bronchogenic cyst  Tomography, X-ray computed
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作者单位E-mail
尤小芳 同济大学附属上海市肺科医院影像科,上海 200433 youxiaofang1978@gmail.com 
侯准 同济大学附属上海市肺科医院影像科,上海 200433  
肖湘生 第二军医大学附属长征医院影像诊断科,上海 200003  
孙希文 同济大学附属上海市肺科医院影像科,上海 200433  
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中文摘要:
      目的 探讨肺内支气管囊肿的CT表现特点。方法 回顾性分析57例经手术病理证实的支气管囊肿的CT表现。结果 57例肺内支气管囊肿,48例发生于单叶肺,3例累及一侧多叶肺,6例累及双肺多叶。21例CT表现为球灶型,19例呈空腔型,8例呈肿块样型,9例呈蜂窝型。13例含有曲菌球,5例囊壁发生钙化。15例见囊肿周围透亮度增高影,24例见周围条状实变影,4例见邻近肺组织节段性压缩不张,9例见近端引流支气管扩张积液。结论 大部分肺内支气管囊肿的CT表现具有特征性,有助于术前诊断。
英文摘要:
      Objective To investigate CT manifestations of congenital pulmonary bronchogenic cysts. Methods CT features of 57 patients with pulmonary congenital bronchial cysts confirmed by pathology after operation were reviewed retrospectively. Results The lesions located in single lobe in 48 patients, in multi lobes of single lung in 3, and multi lobes of bilateral lungs in 6 patients. Pulmonary nodular opacity was detected in 21 patients, air-filled cyst in 19 patients, irregular mass attenuation in 8 patients and honeycomb-like cyst in 9 patients. Aspergilloma was seen in 13 patients. Spotty or curved calcification of the cystic wall was found in 5 patients. Pericystic emphysema and bandlike linear attenuation presented in 15 and 24 patients, respectively. Segmental pulmonary atelectasis by mass effect was seen in 4 patients, while proximal bronchiectasis and hydrops in 9 patients. Conclusion Most congenital pulmonary bronchogenic cysts show characteristic CT signs, which are helpful to preoperative diagnosis.
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