ISSN 1004-4140
CN 11-3017/P

弥漫性泛细支气管炎的多排螺旋CT表现

MSCT Features of Diffuse Panbronchiolitis

  • 摘要: 目的:探讨弥漫性泛细支气管炎的多排CT表现。方法:回顾性分析5例弥漫性泛细支气管炎患者CT表现与病理改变。结果:5例均见广泛分布的小叶中心性结节,无融合;2例见“树芽征”;3例细支气管壁增厚、呈柱状或环形扩张;3例可见小叶中心性肺气肿;5例均可见鼻窦炎。结论:弥漫性泛细支气管炎其影像学表现具有特征性,影像学检查尤以HRCT检查对该病早期诊断有重要临床意义。

     

    Abstract: Objective: To study features of diffuse panbrochiolitis(DPB) on high resolution computed tomography(HRCT).Methods: Retrospective analysis of radiographic and pathologic data of 5 patients with DPB was made.Results: 5 patients with DPB presented with centrolobular non fused node shadows being distributed diffusely on both lung fields.Typical chest HRCT scan showed “tree-in-bud” in 2 cases;the wall being thickened in small airway,tubular or ring shaped cap illary bronchiectasis in 3 cases;centrilobular emphysema in 3cases;paranasosinusitis in 5 cases.Conclusion: DPB have characteristic imaging features,which are the key to accurately diagnose this disease,particularly on HRCT.

     

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