摘要
目的 :分析白塞病累及胸部的临床及影像学表现。材料和方法 :回顾性分析 15例胸部受累白塞病患者的临床及影像表现。影像检查包括X线平片 15例 ,CT 9例 ,MRI 3例 ,血管造影 6例 ,肺V /Q显像 3例 ,超声心动图或血管Doppler超声 7例。 3例患者具有影像随访资料。 结果 :15例中 ,胸痛、咯血者 6例 ,上腔静脉阻塞综合征 4例 ,余 5例无明显胸部症状。影像表现包括 :肺动脉血栓栓塞 3例 ,肺动脉瘤 2例 ,上腔静脉系统狭窄或闭塞 4例 ,心脏受累 4例以及胸腔积液、肺纹理增多等其它非特异表现。结论 :白塞病累及胸部的表现多样 ,X线平片常可提示诊断 ,应作为首选检查 ;CT和MRI是主要确诊手段 ;而血管造影应仅限于介入治疗。
Purpose: To analyse clinical and imaging findings of Behcet's disease in case of thoracic involvements. Materials and methods: 15 cases of Behcet's disease with thoracic involvements were retrospectively reviewed and the clinical manifestations and imaging findings were analysed. The imaging methods included plain film (15 cases), CT(9), MRI(3), angiography (6), V/Q imaging (3)and ultrasonography (7). Results: Of the 15 cases, 6 manifested as chest pain and hemaptysis, 4 manifested as superior vena cava obstruction syndrome and the other 5 had no obvious thoracic symptoms. The result of imaging findings showed that there were 3 cases of pulmonary arteriothromboembolism, 2 cases of pulmonary arterial aneurysms, 4 cases of narrowing or obstruction of superior vena cava, 4 cases of cardiac involvements and other nonspecific changes such as hydrothorax or increased lung markings.Conclusion: The thoracic manifestations of Behcet's disease are various and plain film should be the first choice as screening. CT and MRI are the chief means of diagnosis and angiography should be limited to interventional therapy.
出处
《中国医学影像学杂志》
CSCD
2001年第6期401-403,共3页
Chinese Journal of Medical Imaging
