摘要
目的:分析肺单发炎性假瘤CT影像表现,以提高其影像诊断及鉴别诊断水平。方法:收集32例经手术切除病理、CT引导下穿刺活组织检查及支气管镜证实的肺炎性假瘤的临床、CT资料进行回顾性分析。结果:肺炎性假瘤的主要CT表现:比较特征征象,病变中间一层面可见"刀切"征;多数病灶位肺外周,靠近胸膜下;多数分病灶呈类圆形,内密度均匀,边缘光整;多数病灶全瘤均匀明显强化。结论:螺旋CT检查对肺炎性假瘤的正确诊断与鉴别诊断很有帮助,特别CT引导下肺穿刺活组织检查定性高,可作为组织学诊断的首选。
Objective:To increase the liability of diagnosis and differentia diagnosis of single inflannatory pseudotumors of lung(IPL)by analyzing the CT features.Metheds:To investigate retrospectively the data of the 32 cases with single IPL from June 2002 to October 2006.All cases were proved by clinical surgery and pathological findings.Results:The main CT findings were as follows.The middle sections showed:lateral margins of the lesions perpendicular to pleura with a straight cut edge.It is more characteristic.The majority focus was at margin of lung and under the pleura.The circle-like,mass,most of them were single and margin was smoothy,most of their density was equality.The most of the focus showed homogenous enhancement after contrast enhanced scanning,the CT value is more than 60Hu.Conclusion:The spirl CT examination is very helpful to the correct diagnosis of IPL,especial,CT-guidedbiosy.
出处
《临床医药实践》
2007年第S2期667-669,共3页
Proceeding of Clinical Medicine
关键词
肺炎性假瘤
肺肿瘤
X线计算机
inflammatory pseudotumor of lung
congenital tomography,X-ray computed
