论文部分内容阅读
目的探究肺炎性假瘤通过X线、体层扫描、CT检查等诊断学手段观察影像特征。方法选自2003年5月～2013年4月诊治在我院感染科、部分经手术的病理结果确诊为肺炎性假瘤的28例患者,通过对胸部进行X线检查、体层检查、CT扫描,分析放射学诊断的影像表现。结果诊断结果显示,病灶部位是高密度区域,具有肿块、炎症浸润型等特征;假瘤的外形最常见的为圆形和椭圆形的球形阴影,且阴影部分密度均匀,边界清晰,直径多在3～5cm之间;在假瘤边缘存在明显的胸膜幕状粘连且呈尖角状特征,与肿块进行有效结合像桃子的尖部,称为“桃尖征”。结论通过X线胸片检查、体层及CT检查确诊假瘤的准确率较高,具有重要的临床诊断价值。
Objective To investigate the imaging features of pulmonary inflammatory pseudotumor through X-ray, tomography and CT examination. Methods From May 2003 to April 2013, 28 patients diagnosed as pulmonary inflammatory pseudotumor by pathology in our hospital were diagnosed and treated by X-ray examination, tomography and CT scan , Analysis of radiological diagnosis of imaging performance. Results The diagnostic results showed that the lesion was characterized by high-density area with mass and infiltrative infiltrates. The shape of the pseudotumor was the most common round and oval spherical shadows, and the shadows were uniform in density with clear boundaries and diameter 3 ~ 5cm; in the edge of the pseudotumor obvious pleural adhesions and was sharp-pointed features, and the effective integration of the tumor like the tip of the peach, known as the “peach tip levy.” Conclusion X-ray examination, tomography and CT examination of false nodules with high accuracy, has important clinical diagnostic value.