摘要
目的分析支气管内膜结核的CT表现,探讨CT对支气管内膜结核的诊断价值。方法回顾性分析20例经纤支镜活检证实的支气管内膜结核的CT表现。结果20例支气管、叶支气管狭窄,11例锥形狭窄,9例管壁增厚,其中,向心性狭窄5例,偏心性狭窄4例,伴支气管扩张7例,钙化4例。6例继发肺不张,19例患者肺野内均可见不同性质肺结核灶,12例并发胸膜病变。肺门纵隔淋巴结肿大及钙化11例。结论CT是诊断支气管内膜结核的有效方法,其CT表现具有一定的特征性。
Objective To analyze the CT findings of endobrenchial tuberculosis(EBTB) and to discuss their diagnostic value. Methods CT findings of 20 patients with EBTB confirmed by fiberoptic bronchoscopic biopsy were analyzed retrospectively, Results On CT images, bronchiarctia and lobar bronchiarctia were found in all patients, conic stenosis in 11, thickened bronchial walls in 9 who comprised 5 centripetal stenosis and d, eccentric stenosis, associated with bronchiectasis in 7, calcification in 4. Secondary atelectasis were found in 6 cases, intrapulmonary heterogeneous tuberculosis fovi in 19, complicated pleural lesions in 12, and hilar and mediastinal lymphonode enlargement and calcification in 11. Conclusion EBTB has characteristic CT findings so that CT scanning is an effective modality for diagnosing this disease.
出处
《实用医学影像杂志》
2007年第6期355-356,364,共3页
Journal of Practical Medical Imaging