煤工尘肺胸部CT检查的诊断价值

目的:评价胸部CT检查煤工尘肺临床诊治过程中的应用价值.方法:对71例已经确诊为煤工尘肺的患者行肺部CT检查,根据CT图像,得出各自主要征象,并做统计学计数.结果:55例以双肺弥漫分布2 mm～3 mm小结节影为主,结节融合多位于双肺上叶(尖)后段及下叶背段;9例以双肺广泛分布不规则形纤维索条影为主;7例以双肺磨玻璃影为主;57例可见纵隔淋巴结肿大伴钙化;19例可见胸膜局部增厚,8例伴有胸水;且其中13例合并肺结核,5例合并肺癌,均经临床证实.结论:煤工尘肺的CT表现典型,CT检查可作为患者确诊及定期复查的常规检查,并且对煤工尘肺合并肺结核及肺癌等合并症的发现也很有价值.

The Value of Chest Computer Tomography in Diagnosis of Pneumoconiosis in Coalminer

Objective: Evaluate chest computer tomography(CT) in diagnosis of pneumoconiosis in coalminer.Methods: Conduct chest CT in 71 patients who had been diagnosed as coalminer's pneumoconiosis.Results: 2 mm to 3 mm opaque nodules were distributed in 55 patients'lungs.9 patients'lungs were full of irregular fibrotic bars.7 patients' lungs were rich in ground-glass opacity.Lymph nodes' tumefaction and calcification were seen in 57 patients.Partial incrassation in pleura were seen in 19 patients,with hydrothorax in...