摘要
目的探讨胸膜结核瘤CT检查的诊断价值。方法收集山东省滨州市结核病防治院2002年11月—2009年10月经手术病理、肺穿刺细胞学和(或)病理及随访证实的35例胸膜结核瘤(单发26例,多发9例,共53个病灶),全部经CT平扫,16例进行了增强扫描。结果CT平扫表现为紧贴胸膜向肺内突出的结节或团块影,乳头状结节13个,半圆形15个,类圆形21个,椭圆形2个,扁平状1个,不规则形1个;密度较均匀39个,不均匀13个,见条状钙化灶1个。增强扫描,共26个病灶,无明显强化8个,边缘强化15个,明显均匀强化3个。结论CT检查对胸膜结核瘤的诊断及鉴别诊断有重要价值。
Objective To investigate the CT scan in the diagnosis of pleural tuberculoma. Methods CT images of 35 patients with pleural tuberculoma were analyzed retrospectively,including contrast-enhanced CT scan in 16 cases in our hosptial from Nov.2002 to Oct.2009 The final diagnosis for all patients were confirmed by pathology,cytologic examination and long term follow-up.There were 53 lesions found in 35 cases with single pleural tuberculoma in 26 cases and multiple pleural tuberculomas in 9 case. Results The CT characteristics of pleural tuberculoma were mass or nodular image findings bulging toward the lung.The CT scan showed papillary nodules in 13 cases,semicircular in 15 cases,round-like in 21 cases,oval in 2 cases,flat focus in 1 case and irregular in 1 case.There were 39 foci with homogeneous intensity,13 foci with heterogeneous intensity and 1 focus with stripes calcifications.Of 26 foci wih contrast-ehanced scan,8 foci were not obvious enhanced,15 foci were marginal enhanced and 3 were obvious homogeneous enhanced. Conclusion CT scan is a clinical valuable tool in the diagnosis and differential diagnosis of pleural tuberculoma.
出处
《中国防痨杂志》
CAS
2010年第5期261-263,I0001,共4页
Chinese Journal of Antituberculosis
