摘要
目的 :分析支气管结核性狭窄的螺旋CT表现 ,以提高其临床认识。方法 :回顾13例经手术病理、纤支镜活检证实的支气管结核性狭窄 ,分析其病灶部位、范围、程度及肺内的病灶、淋巴结和胸膜改变等。结果 :13例中23支支气管受累 ,右侧多于左侧 ,支气管壁增厚23支 ,受累的支气管壁长度大于3cm达15支 ,肺门、纵隔淋巴结肿大5例。结论 :支气管壁增厚、管腔狭窄、受累支气管壁范围较广是支气管结核性狭窄的主要螺旋CT表现。
Objective:To study the spiral CT signs of tuberculous bronchial stenosis,so as to improve its clinical understanding.Methods:The site,range and degree of focus and the change of pulmonary parenchyma,lymph node and pleura in 13 cases with tuberculous bronchial stenosis documented by operation and fiberop tic bronchoscopic biopsy were analysed retrospectively.Results:23 bronchi of 13 cases were affected,the affected bronchi in the right side were more than those in the left side.The bronchial wall thickened in 23 bronchi,the length of the af fected bronchial wall was in excess of 3 cm in 15 bronchi.Mediastinal or hilum t uberculous lymphodenitis was demonstrated in 5 cases.Conclusion:The tube wall th ickening,lumen stenosis and extensive involvenment of the bronchus are the main signs of tuberculous bronchial stenosis.
出处
《现代医药卫生》
2005年第3期256-257,共2页
Journal of Modern Medicine & Health
