肺结节病的临床与影像研究

被引：26

作者：

柯淑君

肖湘生

机构：

[1] 第二军医大学附属长征医院影像科

来源：

国际医学放射学杂志 | 2015年 / 38卷 / 04期

关键词：

肉芽肿; 结节病; 肺; 体层摄影术,X线计算机; 磁共振成像; 正电子发射体层成像;

D O I：

暂无

中图分类号：

R593.9 [其他]; R445.2 [核磁共振成像]; R816.4 [胸部及呼吸系];

学科分类号：

100106 [放射医学]; 100201 [内科学]; 100231 [临床病理学];

摘要：

结节病是一种多器官受累的系统性疾病,以肺和胸部淋巴结受累最常见。其临床表现多样,缺乏特异性。病理表现为淋巴细胞、单核-巨噬细胞集聚,以及非干酪样坏死性上皮细胞肉芽肿形成。影像检查方法常为多层螺旋CT及PET/CT。仅依靠临床表现,肺结节病的诊断准确度为33%42%,如辅以胸部X线检查可以提高至52%76%,而结合高分辨力CT则能达到78%80%。结节病诊断十分困难,且易误诊误治,因此明确诊断需要临床、病理及影像方法的结合。

引用

页码：331 / 334

页数：4

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