摘要:
目的:总结43例支气管内膜结核(EBTB)患者的多层螺旋CT影像学特点,提高对该病的认识及鉴别诊断能力。方法:回顾性分析2014年1月至2015年12月收治的43例经纤维支气管镜及手术病理确诊的EBTB患者的临床表现、CT资料及随访结果,总结其CT特点。结果:EBTB的CT特点为:(1)病变累及范围广,可多支支气管同时受侵犯,以上叶支气管多见;(2)支气管壁多呈不规则增厚,管腔有不同程度的狭窄,支气管走形僵直,少数管腔闭塞致肺不张发生;(3)多数支气管壁可见线条状钙化;(4)胸内多见结核并发灶;(5)肺门、纵隔及腋下淋巴结肿大及钙化。结论:多层螺旋CT能更清楚地观察支气管管壁、管腔受侵犯情况及肺内并发灶,为EBTB的诊断及鉴别诊断提供了重要参考价值,提高其诊断符合率。
Abstract:
Objective: To analysis of multi-slice CT imaging features of 43 cases of endobronchial tuberculosis (EBTB) patients, and to improve the ability of recognition and differential diagnosis of EBTB. Methods: A retrospective analysis of the clinical manifestations of 43 cases by fiberoptic bronchoscopy and surgical pathology confirmed EBTB patients, CT data and follow-up results, summarized its multislice spiral CT features. Results: CT is shown as of EBTB: (1) Lesions involving a wide range of multi-branching bronchial simultaneously involved, common in the upper lobe bronchus. (2) Bronchial wall showed more irregular thickening, luminal showed varying degrees of stenosis, a few tracheas can complete occlusion, leading to atelectasis. (3) Some calcification of the bronchial wall were observed. (4) There were some intrathomcal tuberous foci frequently. (5) Lymph node enlargement and calcification. Conclusion: Multislice spiral CT scan more clearly observe the bronchial lesions, it provides an important reference value for the diagnosis and differential diagnosis of EBTB, improve the diagnostic rate of EBTB.
百度学术
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