肺泡蛋白沉着症支气管肺泡灌洗术前后胸部CT主要表现

叶文卫; 刘勇彬; 刘琴

肺泡蛋白沉着症支气管肺泡灌洗术前后胸部CT主要表现

1. 南方医科大学附属东莞市石龙人民医院放射科, 广东东莞 523326;
2. 广东医学院附属东莞市厚街医院放射科, 广东东莞 523945;
3. 广州医学院第一附属医院放射科, 广州 510120

详细信息

作者简介:
叶文卫(1979-),男,南方医科大学附属东莞市石龙人民医院主治医师,主要从事CT与MR影像诊断学研究,Tel:0769-81368089;E-mail:dgyww1036@sohu.com;刘勇彬(1981-),男,医学硕士,广东医学院附属东莞市厚街医院主治医师,主要从事胸部影像诊断学研究,Tel:0769-81523212,E-mail:liuyongbingking@21cn.com

通讯作者:
刘勇彬(1981-),男,医学硕士,广东医学院附属东莞市厚街医院主治医师,主要从事胸部影像诊断学研究,Tel:0769-81523212,E-mail:liuyongbingking@21cn.com

中图分类号: R814
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出版历程
- 收稿日期: 2013-09-13
- 网络出版日期: 2022-12-09

The CT Imaging Features of Pulmonary Alveolar Proteinosis Before and After Bronchoalveolar Lavage

1. Department of Radiology, the Affiliated Shilong People’s Hospital, Southern Medical University, Dongguan 523326, China;
2. Department of Radiology, the Affiliated Houjie Hospital, Guangdong Medicial College, Dongguan 523945, China;
3. Department of Radiology, the first Affiliated Hospital of Guangzhou Medicial College, Guangzhou 510120, China

摘要

摘要: 目的:探讨肺泡蛋白沉积症(PAP)支气管肺泡灌洗术(BAL)前后的主要CT表现,以提高对本病的认识及评价BAL后的效果。方法:回顾性分析25例经病理证实为PAP的CT表现,观察病灶的范围、形态、边界及对比BAL前后的变化。结果:PAP的CT表现呈多样化,主要归纳为:地图征、碎石路征、肺水肿样及肺实变征。BAL后15例显著改善。结论:CT能直观显示PAP的影像特征,对该病有较高的诊断价值,同时可评价本病BAL后的效果,确诊依赖病理学证实。
- 肺泡蛋白沉着症 /
- CT /
- 支气管肺泡灌洗术
Abstract: Objective: To evaluate the CT imaging features of pulmonary alveolar proteinosis(PAP) before and after bronchoalveolar lavage(BAL), to raise awareness of the disease and the evaluation of the effect after BAL. Methods: A retrospective analysis of 25 cases of pathologically confirmed was done. The CT imaging features of PAP, including range, shape, boundary, and the changes before and after BAL, were observed. Results: The CT imaging features of PAP were diversified, which summarized as: map sign, gravel levy, pulmonary edema-like symptoms and pulmonary consolidation. 15 cases significantly improved after BAL. Conclusion: CT can visualize the imaging features of PAP and have a higher diagnostic value, that can evaluate the effect after BAL, The diagnosis depends on pathology confirmed.
- pulmonary alveolar proteinosis /
- CT /
- bronchial alveolar lavage