胸腔积液CT检查的临床意义.docVIP

胸腔积液CT检查的临床意义 来源:免费论文网 陈民强，张国良，赵殿 2006-3-31 14:51:00 网友评论 条 字体:[大 中 小] 收藏本文 ※我要投稿! 关键词：胸腔积液 【摘要】 目的 探讨良、恶性胸腔积液中胸膜改变的CT特征，提高胸腔积液定性诊断水平。 回顾性70例组织学或临床证实的胸腔积液的良、恶性胸膜改变的CT表现。由两名放射科医师对CT表现进行分析。结果 70例胸腔积液中良性30例，恶性40例。恶性胸腔积液胸膜改变的CT特征：（1）壁层胸膜结节样增厚；（2）壁层胸膜不规则增厚（厚度＞10mm）；（3）环状胸膜增厚；（4）纵隔胸膜增厚。良性胸腔积液大多显示胸膜均匀性增厚，线状粘连与钙化。结论 CT对胸膜增厚的良、恶性鉴别具有一定价值，单侧胸膜不规则增厚、环状增厚＞1cm，纵隔胸膜受累常提示为恶性。 【关键词】 胸腔积液；X线断层摄影术；机；诊断 CT findings and its clinical significance in the pleural effusion CHEN Min-qiang，ZHANG Guo-liang，ZHAO Dian-hui.Department of Radiology，Zhabei District Central Hospital，Shanghai 200070，China 【Abstract】 Objective To invest the characteristics of CT findings in the benign and malignant pleural effusion.Methods CT findings of the pleural effusion were analyzed respectively in 70 cases.Final diagnoses were based on histopathological or cytological analysis，or clinical follow-up.The benign or malignant pleural effusion in appearance were established by two observers.Results Pleural effusions were malignant in 40 patients and benign in 30 patients.CT was of value in patients with suspected malignant pleural effusions.The findings of malignant pleural effusion were pleural thickening of nodularity，irregularity and pleural thickness＞10mm，ring-shape pleural thickened，or mediastinal pleural thickened.The calcification，line-like adhesion and homogeneous pleural thickening were shown in the benign pleural effusions.Conclusion CT is of value in patients with suspected malignant pleural effusions.The signs for malignant pleural thickening of nodularity，irregularity and pleural thickness 1 cm are reliable in the presence of a pleural effusion. 【Key words】 pleural effusion；X-ray tomography；computer；diagnosis 胸腔积液是机体内多种疾病在胸膜上的反映。普通X线检查（胸透或胸片）对少量积液有时不能发现，对积液量较多时仅能诊断积液的存在，而不能明确壁层胸膜的变化特征和隐蔽于积液中的肺内病灶等，可能发生漏诊，CT检查却能弥补其不足。本文收集70例胸腔积液病例，回顾性分析良、恶性胸膜腔病变的CT特征，旨在进一步提高CT对胸腔积液的定性诊断水平。 1 资料与方法 1.1 一般资料 本组70例胸腔积液中良性