2008級第一次 第四章 胸部CT正常解剖與基本病变.ppt

第四章 呼吸系统;胸部CT正常解剖与基本病变;本章重点;学习难点;第一节 胸部CT检查技术;肺有良好的天然对比，故临床运用常规X线检查仍然是胸部疾病诊断重要的、基本的手段，但其分辨率较低（密度分辨率），前后组织结构互相重叠，使某些部位病变难于显示，而这恰好是CT的优点所在。 ;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;胸部CT检查技术（2）; ; ;胸部CT检查技术（5）;; ;;; ; ;;胸部CT检查技术（13）;目前要求肺部孤立性结节需常规采用动态增强扫描+高分辨率扫描。;CT检查：常规扫描与高分辨扫描;多层螺旋CT气管、支气管树三维重建;MSCT气管支气管SSD、CPR重建;第二节 胸部CT解剖;胸部CT解剖（1）;胸部CT解剖（2）;正常胸部CT所见(肺窗);1.气管 位置，形态 大小 上纵隔气管呈椭圆形后壁扁平略内凹；成年 人气管横径为10-27mm;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.; 2.支气管 右主支气管短而粗，左主支气管细而长。 段支气管是确定肺段及亚段的主要依据。 CT表现：呈环形（横断面）、管状（纵断面）或卵圆形（斜断面） 低密度影 常规CT层厚可显示肺叶和肺段支气管， 薄层扫描可显示亚段支气管， HRCT可显示肺小叶终末细支气管;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;胸部CT解剖（3）;正常肺段（图）;正常肺段（图）;胸部CT解剖（4）;The Secondary Pulmonary Lobule肺小叶（直径1-2.5CM）;小叶支气管、终末细支气管;肺动脉pulmonary artery ;小叶间隔interlobular septa ;肺静脉pulmonary vein ;腺泡pulmonary acini ;次级肺小叶（示意图）;次级肺小叶（示意图）;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;胸部CT解剖（5）;胸部CT解剖（6）;段支气管（示意图）;;上肺门（图）;下肺门（图）;下肺门（图）;胸部CT解剖（7）;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;胸部CT解剖（8）;胸部CT解剖（9）;胸部CT解剖（10）;正常胸部CT所见(纵隔窗);① 胸骨后间隙 ② 血管前间隙③ 气管前间隙;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd.;Evaluation only. Created with Aspose.Slides for .NET 3.5 Client