肺部空洞或空腔性病变的X线诊断(附105例分析)

目的：提高对肺部空洞或空腔性病变的诊断及鉴别诊断水平。方法：回顾性搜集本院近１０ａ资料完整、诊断明确的肺部空洞或空腔性病变１０５例。重点观察分析各种病因所致的空洞或空腔性病变在胸部Ｘ线平片上的表现。结果：薄壁空洞常见于肺结核，厚壁空洞常见于多种疾病，无壁空洞见于干酪性肺炎，空腔性病变壁更薄，空洞外缘模糊多见于感染性病变，外缘分叶、有毛刺、洞壁厚达１５ｍｍ以上、内缘凹凸不平见于肺癌，洞内液平厚且宽大者见于肺脓肿，引流支气管影像主要见于肺结核。结论：Ｘ线平片是最主要的常规检查方法，多数空洞或空腔性病变据此可以作出诊断

Radiologic Diagnosis of Cavity or Air Containing Space of the Lung (Analysed of 105)

Objective:To improve the levels of diagnosis and differential diagnosis for cavity or air containing space pulmonary lesions.Methods:105 cases with cavity or air containing space pulmonary lesions were retrospectively reviewed.The definitive diagnosis was clinically established in all 105 cases.The radiographic findings of cavity or air containing space pulmonary lesions were emphatically observed and analysed.Results:Thin-walled cavities were mainly seen in pulmonary tuberculosis,thick-walled cavities caused by various factors were common, moth-eaten cavities were in caseous pneumonia,the wall of air containing space was thinner.Shaggy margins were mainly in infective disease;lobulation and spiculation of margin, wall thickness over 15mm and rough inner wall were in pulmonary cancer;thick and wide air-fluid level was in loculated pulmonary abscess.Drainaged bronchogram was seen in pulmonary tuberculosis.Conclusion:The plain is mainly a routine examination.The correct diagnosis was made in majority of cavity or air containing space lesions by it.