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目的认识慢性阻塞性肺疾病的CT及高分辨率CT(HRCT)表现。方法 76例肺功能检查确诊的慢性阻塞性肺疾病患者,平均年龄64岁。回顾性分析所有病例的胸部常规CT及HRCT相关资料。结果最常见的CT表现为肺纹理增粗、模糊48例,肺气肿32例,空气潴留征14例,气管、支气管管壁增厚14例,支气管扩张11例,59例同时有2种及以上CT表现。结论慢性阻塞性肺疾病的CT表现具有一定特征性,可以结合肺功能检查作出临床诊断。
Objective To understand CT and high resolution CT (HRCT) manifestations of chronic obstructive pulmonary disease. Methods 76 patients with chronic obstructive pulmonary disease diagnosed by pulmonary function test, the average age of 64 years. The chest CT and HRCT data of all cases were retrospectively analyzed. Results The most common CT findings were thickening of the lungs, blurring of 48 cases, emphysema in 32 cases, air retention sign in 14 cases, trachea and bronchial wall thickening in 14 cases, bronchiectasis in 11 cases, 59 cases with 2 and The above CT performance. Conclusion CT manifestations of chronic obstructive pulmonary disease have certain characteristics, which can be combined with pulmonary function tests to make clinical diagnosis.