本文關(guān)鍵詞：肺內(nèi)病變跨葉間裂征象的多層螺旋CT診斷價(jià)值　出處：《中國(guó)醫(yī)學(xué)影像學(xué)雜志》2017年08期 　論文類型：期刊論文

  更多相關(guān)文章： 肺腫瘤 體層攝影術(shù) 螺旋計(jì)算機(jī) 病理學(xué) 外科 葉間裂 診斷 鑒別

【摘要】：目的探討肺內(nèi)有跨葉間裂征象的病變的多層螺旋CT表現(xiàn)特點(diǎn),結(jié)合病理結(jié)果,分析跨葉間裂征象對(duì)病變的診斷價(jià)值。資料與方法收集2015年10月-2016年10月49例經(jīng)手術(shù)及病理證實(shí)或臨床確診的肺內(nèi)有跨葉間裂征象病變患者的資料,回顧性分析其CT影像中病變的跨葉間裂征象及其他肺內(nèi)表現(xiàn)。結(jié)果多發(fā)病變16例,單發(fā)跨葉間裂病變33例。多發(fā)病變中9例(56.3%)為感染性病變,包含結(jié)核桿菌、真菌、金黃色葡萄球菌及克雷伯桿菌感染,3例(18.7%)為腺癌,2例(12.5%)為轉(zhuǎn)移瘤,1例(6.3%)為韋格納肉芽腫,1例(6.3%)為抗中性粒細(xì)胞胞漿抗體相關(guān)性血管炎。單發(fā)病變中21例(63.6%)為惡性腫瘤,包括肺腺癌、鱗癌、淋巴瘤及轉(zhuǎn)移瘤,6例(18.2%)為硬化性肺細(xì)胞瘤或錯(cuò)構(gòu)瘤,邊緣光滑,未見惡性征象;6例(18.2%)為炎性病變。結(jié)論肺內(nèi)病變跨葉間裂生長(zhǎng)的征象可見于惡性腫瘤、良性腫瘤及炎性病變,多發(fā)病變同時(shí)伴有跨葉征象時(shí),以良性病變多見,亦可見于惡性腫瘤(轉(zhuǎn)移瘤及肺癌肺內(nèi)轉(zhuǎn)移);單發(fā)病變同時(shí)伴有跨葉征象時(shí),以惡性腫瘤多見,亦可見于機(jī)化性肺炎及良性腫瘤,單發(fā)的跨葉分布的機(jī)化性肺炎有時(shí)與惡性腫瘤鑒別困難,良性腫瘤特征明顯時(shí)需考慮硬化性肺細(xì)胞瘤及錯(cuò)構(gòu)瘤的可能性。
[Abstract]:Objective to investigate the features of multislice spiral CT in the lesions with interlobular fissure signs in the lung, and to analyze the diagnostic value of interlobular fissure signs to the lesions by pathological results. Materials and methods data of 49 cases of interlobar fissure lesions in lung confirmed by operation and pathology in October 2015 -2016 October were collected, and the signs of interlobar fissure and other pulmonary manifestations in CT images were retrospectively analyzed. Results there were 16 cases of multiple lesions and 33 cases of single interlobular fissure. Multiple lesions in 9 cases (56.3%) for infectious diseases, including tuberculosis, fungi, Staphylococcus aureus and Klebsiella pneumoniae infection, 3 cases (18.7%) adenocarcinoma, 2 cases (12.5%) metastasis, 1 cases (6.3%) as Wegener's granulomatosis, 1 cases (6.3%) for anti neutrophil cytoplasmic antibody associated vasculitis. 21 cases (63.6%) of solitary lesions were malignant tumors, including lung adenocarcinoma, squamous cell carcinoma, lymphoma and metastatic tumor. 6 cases (18.2%) were sclerosing pulmonary cell tumor or hamartoma, with smooth edges and no malignant signs. 6 cases (18.2%) were inflammatory lesions. Conclusion lung lesions cross fissural growth signs seen in malignant tumors, benign tumors and inflammatory lesions, multiple lesions accompanied by signs of cross leaf, benign lesions, may be found in malignant tumors (metastases of lung cancer and lung metastasis); single lesions accompanied by cross leaf signs, with malignant tumors see, it can also be seen in organizing pneumonia and benign tumor, organizing pneumonia across the distribution of single leaf and sometimes difficult to distinguish malignant tumors, consider the possibility of sclerosing lung cell tumor and hamartoma need obvious characteristics of the benign tumor.
【作者單位】： 首都醫(yī)科大學(xué)大興教學(xué)醫(yī)院放射科;解放軍總醫(yī)院放射科;
【分類號(hào)】：R730.44;R734.2
【正文快照】： 通訊作者聶永康Department of Radiology,Chinese PLAGeneral Hospital,Beijing 100853,ChinaAddress Correspondence to:NIE YongkangE-mail:nieyongkang@sina.comR563;R445.3修回日期:2017-04-27中國(guó)醫(yī)學(xué)影像學(xué)雜志2017年第25卷第8期:583-586Chinese Journal of Medical Ima

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