| 支气管内膜结核的多层螺旋CT表现及鉴别诊断 |
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| 引用本文： | 刘丽,丁世荣,蒲鹏,王国俊,苟代文,王统文,何旭兵.支气管内膜结核的多层螺旋CT表现及鉴别诊断[J].CT理论与应用研究,2017,26(3):373-380. |
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| 作者姓名： | 刘丽 丁世荣 蒲鹏 王国俊 苟代文 王统文 何旭兵 |
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| 作者单位： | 四川阿坝藏族羌族自治州人民医院放射科, 四川 阿坝藏族羌族自治州 624000 |
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| 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。
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| 关 键 词： | 肺 支气管内膜结核 体层摄影术 X线计算机 |
| 收稿时间： | 2017-01-22 |
MSCT Manifestations and Differential Diagnosis of Endobronchial Tuberculosis |
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| LIU Li,DING Shi-rong,PU Peng,WANG Guo-Jun,GOU Dai-wen,WANG Tong-wen,HE Xu-bing.MSCT Manifestations and Differential Diagnosis of Endobronchial Tuberculosis[J].Computerized Tomography Theory and Applications,2017,26(3):373-380. |
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| Authors: | LIU Li DING Shi-rong PU Peng WANG Guo-Jun GOU Dai-wen WANG Tong-wen HE Xu-bing |
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| Institution: | Department of Radiology, Sichuan Aba Tibetan and Qiang Autonomous Prefecture People's Hospital, Sichuan Aba 624000, China |
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| 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. |
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| Keywords: | lung endobronchial tuberculosis tomography X-ray computed |
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