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孤立局灶型机化性肺炎的螺旋CT评价
引用本文:周洪彬,邓宇,郑晓涛,陈淮,陈苓,朱巧洪. 孤立局灶型机化性肺炎的螺旋CT评价[J]. 实用医学影像杂志, 2011, 12(4): 211-213
作者姓名:周洪彬  邓宇  郑晓涛  陈淮  陈苓  朱巧洪
作者单位:1. 广东省连平县人民医院放射科,广东连平,517100
2. 广州医学院第一附属医院放射科
摘    要:目的探讨机化性肺炎的螺旋CT表现。方法对31例机化性肺炎经胸部平扫与增强扫描的螺旋CT表现进行回顾性分析,评价病变的发生部位、形态、大小、边缘、密度及增强等影像学特点。结果右肺22例(70%),左肺9例(30%)。病灶直径介于0.8~7.0 cm。20例呈团块、片状(65%),10例(32%)呈结节状,1例(3%)呈梭形。形态不规则者27例(87%),表现为楔形、多角形,边缘模糊,形态规则4例(13%),边缘光滑。17例(55%)病灶密度不均匀,其中14例病灶内可见低密度,3例可见空洞;14例(45%)病灶密度均匀。平扫低密度区及空洞增强后无强化,其余实变区域强化明显,强化前后CT差值平均约44 HU。6例(19%)病灶相邻胸膜腔少量局限性积液。结论孤立局灶型机化性肺炎的螺旋CT表现具有一定的特异性,有助于临床的诊断。

关 键 词:机化性肺炎  螺旋CT  对比增强扫描

Evaluation of focal organizing pneumonia with spiral CT
Zhou Hongbin,Deng Yu,Zheng Xiaotao,Chen Huai,Chen Ling,Zhu Qiaohong. Evaluation of focal organizing pneumonia with spiral CT[J]. Journal of Practical Medical Imaging, 2011, 12(4): 211-213
Authors:Zhou Hongbin  Deng Yu  Zheng Xiaotao  Chen Huai  Chen Ling  Zhu Qiaohong
Affiliation:Zhou Hongbin,Deng Yu,Zheng Xiaotao,Chen Huai,Chen Ling,Zhu Qiao-hong.Department of Radiology,Guangdong Provincial Lianping County People's Hospital,Lianpingxian 517100,China
Abstract:Objective To assess the imaging features of solitary focal organizing pneumonia(SFOP) seen on spiral CT.Methods Thirty-one patients with SFOP underwent precontrast and postcontrast spiral CT scans of the chest.The CT findings induding the location,shape,size,margin,attenuation and enhanced pattern of the lesions were analyzed retrospectively.Results The lesions occuned in right and left lungs were 22(70%) and 9(30%) cases,respectively.The diameters of lesions ranged from 0.8 cm to 7.0 cm.The mass-like or pa...
Keywords:Organizing pneumonia  Tomography  spiral computed  Contrast-enhanced  
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