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胸部CT对弥漫性泛细支气管炎的诊断价值
引用本文:郝风华,张建红,钟晓燕. 胸部CT对弥漫性泛细支气管炎的诊断价值[J]. 中国CT和MRI杂志, 2013, 11(2): 19-21
作者姓名:郝风华  张建红  钟晓燕
作者单位:郝风华 (广东省惠州市第三人民医院放射科 广东惠州516002); 张建红 (广东省惠州市第三人民医院功能科 广东惠州516002); 钟晓燕 (广东省惠州市第三人民医院检验科 广东惠州516002);
摘    要:目的探讨胸部CT在弥漫性泛细支气管炎(DPB)的临床诊断中的价值及地位。方法选取2O09年9月至2011年12月经我院临床确诊弥漫性泛细支气管起(DPB)的患者9例,总结分析其胸部cT特征。结果弥漫性泛细支气管炎(DPB)的胸部CT特征主要有:1、双肺弥漫分布的小叶中心性粟粒状结节影并见树芽征:2、远端支气管管壁增厚、管腔“双轨状”轻度支扩:3、炎性斑片状渗出病灶;4、肺间质性改变及纤维化;钆支气管粘液栓。结论弥漫性泛细支气管炎(DPB)的胸部cT具有典型的特征性表现,是临床确诊DPB的重要诊断依据。

关 键 词:弥漫性泛细支气管炎  胸部  CT  粟粒状结节影  树芽征  支扩

The Diagnostic Value of Thoracic CT Scan in Diffuse Panbronchiolitis
HAO Feng-hua,ZHANG Jian-hong,ZHONG Xiao-yan. The Diagnostic Value of Thoracic CT Scan in Diffuse Panbronchiolitis[J]. , 2013, 11(2): 19-21
Authors:HAO Feng-hua  ZHANG Jian-hong  ZHONG Xiao-yan
Affiliation:1 .Department of Radiology,the Third People's Hospital of Huizhou, Huizhou Guangdong 516002, China; 2. Function Branch, the Third People's Hospital of Huizhou, Huizhou Guangdong 516002, China;3. Laboratory, the Third People's Hospital of Huizhou, Huizhou Guangdong 516002, China)
Abstract:Objective To inverstigate the value of thoracic CT scan in the clinical diagnosis of diffuse panbronchiolitis(DPB) with thoracic CT scan. Methods Nine cases of DPB were selected from September 2009 to December 2011 and the CT characteristic were analysed. Results The main CT appearances of DPB are as follow: 1.diffuse centrilobular distribution of miliary nodes as well as tree-in-bud sign. 2.distal bronchial wall thickening and bronchi- olar double track sign which prompt slight bronchiectasis. 3.small inflammatory patching signs. 4.interstitial changes in lung. 5.bronchial mucus. Conclusion There were typical CT appearance of DPB and thoracic CT play important role in the diagnosis of DPB.
Keywords:diffuse panbronchiolitis(DPB)  thoracic CT scan  miliary nodes  tree-in-bud sign  bronchiectasis
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