肺炎性肿瘤的X线诊断

目的：通过对14例肺炎性假瘤的X线（包括CT）表现的分析，以期提高对本病的诊断水平。方法：收集在我院诊治手术后病理证实的14例肺炎性假瘤患者的临床一般资料及X线检查资料，对年龄、性别及X线表现进行分类统计。结果：14例病灶均为单发，上叶3例，下叶8例，中叶3例。10例病灶呈类圆形肿块，3例呈片状，1例呈肺不张。8例有相邻膜增厚，5例有毛刺征，3例有桃尖征。8例有局部肺纹理粗密改变。结论：肺炎性假瘤好发肺尖后段、下叶背段及后基底段。病灶多呈圆形肿块。胸膜增厚征、桃尖征及粗毛刺征为其特征改变。局部肺纹理粗密的改变亦有助于诊断。

X-ray diagnosis of pulmonory phlogistic pseudotumor

Objective: To improve CT diagnostic accuracy of this disease by analysing the X-ray findings (induding CT) of 14 cases with pulmonary phlogistic psendotumor. Methods: Clinical materials and X-ray findings of 14 cases with pulmonary phlogistic (proved by surgery) were analysed. Results: Of 14 cases, men were 10, wonen 4, age from 32 to 66, average age, 51.40, X-ray features: (1) Location was single; 3 caes in upper lobe; (2) CT findings: round mass (10 cases); patchy (3 cases); atelectasis (1 case); pleural thickening (8 cases); large and long spiculation (5 cases); peach tip (3 cases); local lung markings increased (8 cases). Couclusions: pulmonary phlogstic psendotumor often occurs in the dorsal apical segment of upper lobe and basal segment of lower lobe. The lesion is like round mass. All the features meationed above help in diagnosis morely accruately.