摘要
[目的]通过分析Churg-Strauss综合征 （CSS）患者的肺CT表现,探讨准确诊断血管炎的放射学和临床的综合途径,提高该病的诊断水平.[方法]选择经临床确诊的CSS 12例,男8例,女4例,所有患者均行高分辨胸部CT扫描.[结果]CT表现有：纵隔小淋巴结11例,磨玻璃影9例,局部胸膜肥厚9例,纤维条索影9例,支气管扩张8例,心脏冠状动脉钙化8例.11例多种病灶混合存在,并在治疗过程中互相转化,其中磨玻璃影、实变影、小结节影、支气管扩张征病灶出现增多或减少.[结论]CSS的肺CT表现呈多样性,以磨玻璃影、纵隔淋巴结增大、纤维条索影、局部胸膜肥厚和心脏冠状动脉钙化最常见,其中纵隔淋巴结增大、心脏冠状动脉钙化可能作为除磨玻璃影外更具特征性表现.
To analyze the lung CT manifestation of patients with Churg-Strauss syndrome（CSS） inorder to discuss an accurate clinical and radiological diagnostic method for vasculitis and improve the diagnostic level of this disease. [Methods] Twelve CSS patients（8 males and 4 females） by clinical definite diagnosis were selected. High-resolution CT chest scan was performed for all patients. [Results] The CT findings showed that there were 11 cases of mediastinal small lymph node, 9 cases of ground-glass shadow, 9 cases of pleural thickening, 9 cases of fibretrabs shadow, 8 cases of bronchial dilatation and 8 cases of coronary artery calcification. Among all patients, 11 cases had various of mixed lesions which were transformed each other during the course of treatment, and ground-glass, consolidation, micronodules shadow and bronchial dilatation increased or dicreased. [Conclusion] The lung CT find- ings in CSS patients are various. Ground-glass shadow, enlarged mediastinal lymph node, fibre-trabs shadow, local pleural thickening and coronary artery calcification were the most common. Enlarged mediastinal lymph node and cor- onary artery calcification may be used as a specific manifestation except ground-glass shadow.
出处
《医学临床研究》
CAS
2011年第10期1868-1871,共4页
Journal of Clinical Research
