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时间:2020-06-05
《肺淋巴管肌瘤病-高分辨CT表现.pdf》由会员上传分享,免费在线阅读,更多相关内容在行业资料-天天文库。
1、医学影像学杂志2013年第23卷第12期JMedImagingVo1.23No.122013肺淋巴管肌瘤病一高分辨CT表现王永红,贺玉芳,宋志刚。,李家开(1.河南省济源市人民医院放射科河南济源454650;2.北京市第六医院功能检查科北京100007;3.解放军总医院病理科北京100853;4.解放军总医院放射科北京100853)【摘要】目的分析肺淋巴管肌瘤病(PLAM)的高分辨率CT(HRCT)表现,探讨HRCT对该病的诊断价值。方法回顾性分析7例经病理证实的PLAM患者的胸片、胸部常规CT和HRCT
2、表现,所有影像均有2位以上放射科医生共同分析,意见一致。结果胸片诊断PLAM的价值有限,PLAM的CT特征表现为两肺弥漫均匀分布的直径2~10mm含气小囊,HRCT对显示气囊优于常规CT,是诊断本病的必要手段。1例伴有自发性气胸,2例伴乳糜胸,l例合并肺大疱形成。结论PLAM具有特征性的HRCT表现,有经验的放射科医生根据典型HRCT表现可诊断此病,但确诊需病理活检。【关键词】肺淋巴管肌瘤病;体层摄影术,x线计算机;活检中图分类号:R563;R814.42文献标识码:A文章编号:1006~9011(201
3、3)12—1927—04Pulmonaryiymphangioleiomyomatosis:high-resolutionCTfindingsWANGYong—hong,HEYu—fang,SONGZhi—gang。,LJJia—kai1.DepartmentofRadiology,ThePeople’SHospitalofJiyuanCity,Henan454650,P.R.China2.DepartmentofFunctionalExamination,The6thBeijingHospital,Be
4、ijing100007,P.R.China3.DepartmentofPathology,PLAGeneralHospital,Beijing100853,P.R.China4.DepartmentofRadiology,PLAGeneralHospital,Beijing100853,P.R.China[Abstract]ObjectiveTodescribethehigh—resolutionCT(HRCT)findingsinpatientswithpulmonarylymphangioleio—m
5、yomatosis(PLAM)andtoinvestigateitsvalueindiagnosisofthisdisease.MethodsSevenpatientswithpathologicallyconfirmedPLAMunderwentchestX-rayradiography,conventiona1CTandHRCTexaminations.Theimageswerere—viewedretrospective1ybymorethantworadiologistsandaconsensus
6、opinionwasreached.ResultsChestX—rayradio—graphycouldnotdiagnosePLAM.AlthoughthepresenceofcystsmaybesuggestedatconventionalCT,HRCTwassupe—riorforcystdetectionandwasessentia1fordiagnosis.Numerous,thin-walledcysts,ranged2~10mm,distributeddif—fuselythroughout
7、thelungs,weretypicalHRCTfindingsfordiagnosisofPLAM.Otherfindingsincludedspontaneouspneumothoraxin1case,chylothoraxin2cases,andbullain1case.ConclusionPLAMhasrelativetypicalHRCTfind—ings.ThediagnosisofPLAMcanbemadeonHRCTscanwithreasonablecertaintybyexpertra
8、diologists,butbiopsyisnecessarytomakethefinaldiagnosis.[Keywords]PulmonaryLymphangiomyomatosis(PLAM);High—resolutionCT(HRCT);Biopsy肺淋巴管肌瘤病(pulmonarylymphangioleio—片及CT表现,重点讨论该病的HRCT表现,探讨myomatosis,PLAM)是一种罕见且病因未明的、其
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