摘要
目的分析局灶性机化性肺炎多层螺旋CT影像学表现及诊治价值。方法收集本院2017年1月至2019年12月收治的63例经病理检查证实为局灶性机化性肺炎患者临床资料,对患者所得MSCT图像进行分析,了解患者病灶部位、形状、大小、边缘、病灶密度、周围组织情况、是否出现淋巴结转移等;以病理检出结果为基准,计算MSCT对局灶性机化性肺炎诊断正确符合率。结果MSCT对局灶性机化性肺炎诊断正确符合率为95.24%,与病理检查结果符合率较高(P>0.05),其中有1例误诊为肺癌、2例肺部良性病变;MSCT表现:结节型29例、肿块型17例、浸润型10例、实变型7例;26例患者病灶边缘为“毛刺”征,22例可见锯齿样改变,11例患者边缘光整清晰,2例边缘模糊、不规则;87.30%(55/63)不均匀密度,12.70%(8/63)密度均匀;增强扫描:51例不均匀强化,12例均匀强化;可见支气管“充气”征、血管“集束异常”征、胸膜增厚。结论局灶性机化性肺炎在MSCT上表现多样化,但仍存在一定的特征性,MSCT对其具有一定的诊断价值,并可为临床治疗提供参考依据。
Objective To analyze the multi-slice spiral CT imaging features of focal organizing pneumonia and its diagnostic value.Methods The clinical data of 63 patients with focal organizing pneumonia confirmed by pathological examinatio in our hospital from January 2017 to December 2019 were collected.The MSCT images of patients were analyzed to understand the location,shape,size,margins,density of the lesions,surrounding tissues,and whether lymph node metastasis occurred.Based on the results of pathological detection,the accuracy of MSCT in the diagnosis of focal organizing pneumonia was calculated.Results The accuracy of MSCT in the diagnosis of focal organizing pneumonia was 95.24%,which was higher than the results of pathological examination(P>0.05).Among them,1 case was misdiagnosed as lung cancer and 2 cases as benign pulmonary lesions.MSCT manifestations:there were 29 cases in nodular type,17 cases in mass type,10 cases in infiltrative type,7 cases in consolidation type.The edges of the lesions showed burr signs in 26 patients,and sawtoothlike changes in 22 patients.The edges of 11 patients were clear and sharp,and the edges were blurred and irregular in 2 patients.87.30%(55/63)patients showed uneven density,12.70%(8/63)showed uniform density.The enhanced scan showed uneven enhancement in 51 cases and uniform enhancement in 12 cases.Air bronchogram,vascular bundle abnormalities,and pleural thickening were seen.Conclusion Focal organizing pneumonia is diverse in MSCT,but still has some characteristics.MSCT has diagnostic value to some extent for it and can provide a reference for clinical treatment.
作者
唐静
TANG Jing(Department of Respiratory Medicine,Longchang People's Hospital,Longchang 642150,Sichuan Province,China)
出处
《中国CT和MRI杂志》
2022年第6期78-80,共3页
Chinese Journal of CT and MRI
基金
四川省卫生和计划生育委员会科研课题(151589327)。
关键词
局灶性机化性肺炎
多层螺旋
影像学表现
诊治价值
Focal Organizing Pneumonia
Multi-Spiral
Imaging Manifestations
Diagnostic Value
