| 弥漫性泛细支气管炎的HRCT诊断 |
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| 引用本文： | 尤正千,朱晓华,马骏,江森,彭刚,虞栋,孙春轶,揭冰,尤小芳.弥漫性泛细支气管炎的HRCT诊断[J].上海医学影像,2009,18(2):119-121. |
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| 作者姓名： | 尤正千 朱晓华 马骏 江森 彭刚 虞栋 孙春轶 揭冰 尤小芳 |
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| 作者单位： | 上海市肺科医院影像科,200433 |
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| 摘 要： | 目的提高对弥漫性泛细支气管炎（DPB）的CT表现的认识，探讨CT对DPB的诊断和鉴别诊断价值。方法回顾性分析2003年6月-2007年12月本院收治的DPB51例，其中病理活检确诊3例，临床诊断48例。结果1胸部CT征象：①弥漫性细粟粒样影伴树芽征，无融合趋势，占88．24％；②小（细）支气管扩张，表现为小气道支气管“双轨征”和环状透光影，部分病例可见支气管壁增厚，占66．67％；③炎性斑片影，多为小斑片影，占52．94％。2．副鼻窦CT检查时多有慢性副鼻窦炎表现，本组病例占7333％。结论CT是DPB诊断中必要手段，高分辨率CT（HRCT）是最佳显示方法，副鼻窦CT检查可为鉴别诊断提供佐证。
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| 关 键 词： | 弥漫性泛细支气管炎 高分辨率CT 副鼻窦炎 |
CT Diagnosis and differentiation of diffuse panbronchiolitis |
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| YOU Zheng-qian,ZHU Xiao-hua,MA Jun,JIANG Shen,PEN Gang,YU Dong,SUN Chun-yi,JIE Bing,YOU Xiao-fang.CT Diagnosis and differentiation of diffuse panbronchiolitis[J].Shanghai Medical Imaging,2009,18(2):119-121. |
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| Authors: | YOU Zheng-qian ZHU Xiao-hua MA Jun JIANG Shen PEN Gang YU Dong SUN Chun-yi JIE Bing YOU Xiao-fang |
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| Institution: | (Department of Radiology, The Shanghai Pneumology Hospital, Shanghai 200433, China) |
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| Abstract: | Objective To evaluate HRCT manifestations of diffuse panbronchiolitis (DPB) and the diagnosis. Methods fourty-three patients collected from June 2003 to December 2007 were retrospectively analyzed including pathologically diagnosis(n=3 cases), clinical-diagnosis (n=48 cases) (refer to Japanese secondary revised diagnostic criteria). Resultes l.The CT appearances of DPB were as inflammatory patching signs(52.94 % ). 2. Chronic paranasal rhinitis(73.33 % ) by CT examination of accessory nasal cavity. Condusion HRCT is an indispensable method for diagnosing DPB. CT examination of accessory nasal cavity may provide significant diagnotic evidence. |
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| Keywords: | Diffuse panbronchiolitis High resulation computed tpmography (HRCT) Nasosinusitis |
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