摘要
目的:分析支气管结核的多层螺旋CT表现,评估其诊断价值。材料和方法:回顾性分析50例经支纤镜及手术、病理证实的支气管结核的多层螺旋CT表现。结果:支气管结核的MSCT表现有以下特点:(1)多支段受累,好发于上肺叶及中肺叶;(2)病变支气管范围长,多为主支气管、叶支气管、段支气管连续或间断受累;(3)管腔多为不规则狭窄;(4)管壁多为不规则增厚,密度增高或钙化;(5)胸内多见结核并发灶。病变支气管壁的MSCT表现与支纤镜病理分型有相关性。结论:MSCT对支气管结核的诊断及治疗方法的选择有较高的临床应用价值。
Purpose： To investigate MSCT features of bronchial tuberculosis and evaluate its clinical application. Materials and Methods： The MSCT appearances of 50 patients with bronchial tuberculosis, pathologically verified by fiberoptic bronchial endoscopy and surgery, were analyzed retrospectively. Results. The MSCT characteristics of bronchial tuberculosis included： （ 1 ） Multiple bronchi and segments were invaded, trequently in the upper and middle lobes; （2）The main bronchi, lobar bronchi and segmental bronchi were usually invaded continuously or intermittently, with a longer extension; （3）The bronchial lumen was often stenosed irregularly; （4）The bronchial walls were always invaded irrgularly, with high attenuation or some calcification; （5） There were some intrathoracal tuberous foci frequntly. The MSCT features of the bronchial walls were correlated with pathological classification by fiberoptic bronchial endoscopy. Conclusion： MSCT can be helpful for clinical diagnosis and treatment planning of bronchial tuberculosis.
出处
《中国医学影像学杂志》
CSCD
2006年第4期252-256,共5页
Chinese Journal of Medical Imaging
关键词
结核支气管
MSCT
bronchus
tuberculosis
multi-slice CT
