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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例有相邻胸膜增厚 ,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。病灶多呈类圆形肿块。胸膜增厚征、桃尖征及粗长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。
Objective: Through the analysis of 14 cases of pulmonary inflammatory pseudotumor X-ray (including CT) performance, in order to improve the diagnosis of the disease. Methods: The clinical data and X - ray findings of 14 patients with pulmonary pseudotumor confirmed by pathology after operation in our hospital were collected. The age, gender and X - ray findings were classified. Results: All 14 lesions were solitary, 3 in the upper lobe, 8 in the lower lobe and 3 in the middle lobe. 10 cases were round-like mass lesions, 3 were flaky, 1 case of atelectasis. 8 cases had adjacent pleural thickening, 5 cases had burr sign, and 3 cases had peach tip sign. 8 cases of local lung texture coarse changes. Conclusions: Pneumonia pseudotumor is good for the posterior segment of the apex, the dorsal segment of the lower lobe and the posterior base segment. Most lesions were round bumps. Pleural thickening sign, prickly peach sign and crude hairy prickle for its characteristics change. Local lung texture changes also help the diagnosis of coarse.