| 单发肺炎性个瘤24例临床X线分析 |
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| 引用本文： | 魏可煌,杨洪志,等.单发肺炎性个瘤24例临床X线分析[J].滨州医学院学报,2002,25(2):107-108. |
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| 作者姓名： | 魏可煌 杨洪志 |
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| 作者单位： | 滨州市复退军人医院，滨州市复退军人医院，滨州市复退军人医院，滨州市人民医院，滨州市复退军人医院，滨州医学院附属医院 滨州市256612，滨州市256612，滨州市256612，滨州市256612 |
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| 摘 要： | 目的：分析单发性假瘤的临床X线表现，提高诊断及鉴别诊断水平。方法：对手术切除，CT导引下肺穿刺活检证实的24例肺炎性假瘤的临床、X线胸片及CT片进行回顾性分析。结果：在24例肺炎性假瘤中，79%（19/24）的肿块位于肺的外周，贴近胸膜面可伴有胸膜肥厚；75%（18/24）的肿块边缘光滑规整，其内密度均匀；67%（8/12）CT增强值大于60Hu；CT导引下肺穿刺活检定性诊断率为90%（10/11）。结论：X线胸片和CT是诊断肺炎性假瘤的主要方法，CT导引下肺穿刺活检定性诊断率高，可作为组织学诊断的首选方法。
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| 关 键 词： | 肺炎性假瘤 肺肿瘤 CT 诊断 |
| 文章编号： | 1001-9510(2002)02-0107-02 |
| 修稿时间： | 2001年11月21日 |
CLINICAL ROENTGENOLOGIC ANALYSIS OF 24 CASES WITH SINGLE INFLAMMATORY PSEUDOTUMORS OF LUNG |
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| Wei Kehuang,Yang Hongzhi,Niu Junluan,et al.CLINICAL ROENTGENOLOGIC ANALYSIS OF 24 CASES WITH SINGLE INFLAMMATORY PSEUDOTUMORS OF LUNG[J].Journal of Binzhou Medical College,2002,25(2):107-108. |
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| Authors: | Wei Kehuang Yang Hongzhi Niu Junluan |
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| Abstract: | Objective:To increase the reliability of diagnosis and differential diagnosis of single inflammatory pseudotumors of lung(IPL) by analyzing the clinical roentgenologic appearance.Methods:The clinical roentgenologic appearance of 24 cases with single IPL from January 1990 to October 2001 was retrospectively studied.All cases were proved by clinical surgery and pathological findings.Results:In 24 cases,79 percent of the masses were at the margin of the lung,the ones near the pleural with concomitant pleural thickness;75 percent of the masses showed well defined margin and homogeneous attenuation;67 percent of the masses had an enhanced CT value more than 60 Hu.The diagnostic accuracy was 90 percent by CT guided biopsy.Conclusion:Chest radiography and CT were main diagnostic methods of IPL. |
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| Keywords: | inflammatory pseudotumor of lung lung neoplasm radiography tomography |
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