摘要
①目的 探讨胸部结节病CT表现的特异性与诊断价值。②方法 回顾性分析 17例经病理组织学检查确诊的胸部结节病的CT表现。③结果 CT显示 14例两侧肺门、纵隔广泛性对称性淋巴结增大。增大淋巴结密度均匀 ,边界清楚 ,无浸润性改变 ,增强扫描呈中度均匀性强化。 9例显示肺实质异常 ,其中 6例兼有淋巴结增大。典型改变为沿支气管血管束分布的微结节 (4例 )、小结节 (7例 )和肺间质纤维化 (2例 )。
Objective\ To evaluate the diagnostic value of CT findings in thoracic sarcoidosis.\ Methods\ The CT features were reviewed in 17 patients with histologically proved thoracic sarcoidosis.\ Results\ Fourteen patients had widespread symmetric lymph node enlargement in bilateral hili and mediastinum on CT scan. The individual enlarged lymph node had homogeneous density, well defined margins, there was no adjacent infiltrative and uniform moderate enhancement. Nine patients had pulmonary parenchymal abnormality at CT, 6 of 9 patients had lymph node enlargement simultaneously. The most frequent CT features were granular density (4 cases), nodules (7 cases) and interstitial fibrosis (2 cases) located along the bronchovascular bundles.\ Conclusion\ The CT features of thoracic sarcoidosis are relatively specific.
出处
《齐鲁医学杂志》
2001年第3期190-191,共2页
Medical Journal of Qilu
