【摘要】 目的:比较分析细支气管肺泡癌青年患者的胸部CT表现与临床病理检查的差异,以提高诊断水平。方法:回顾分析手术切除标本病理证实细支气管肺泡癌青年患者共69例,根据手术病理分为孤立结节组(共25例)、多发结节组(共21例)和肺叶实变组(共23例),比较分析三型细支气管肺泡癌的CT特点与临床病理。结果:孤立结节组CT表现为分叶征、支气管充气征、胸膜凹陷征等,病理类型为非黏液型;多发结节组CT表现为弥漫多发结节状,碎路石征,病理类型为非黏液型或混合型;肺叶实变组CT表现为蜂窝肺征、血管造影征、枯树枝征等,病理类型为黏液型或混合型。结论:熟悉细支气管肺泡癌各型的CT表现与临床病理,有助于提高本病的诊断符合率。更多还原

【Abstract】 Objective:To compare the difference of the chest CT findings and clinical pathology analysis of bronchioloalveolar carcinoma in young patients,in order to improve the diagnosis.Methods:69 cases of bronchioloalveolar carcinoma in young patients confirmed by resecting pathologically specimens were retrospectively analyzed and divided into isolated nodules(25 cases),multiple nodules(21 cases) and lung consolidation group(of 23 cases) according to the surgical pathology.The CT features and clinical pathology of three types of bronchioloalveolar carcinoma were comparative analysis.Results:The CT findings of isolated nodular group were leaf sign,air bronchogram,pleural indentation,the homologous pathological type was non-mucinous type.The multiple nodules group CT showed diffuse multiple nodules,crushed road stone sign,the homologous pathological type was non-mucinous type or mixed type.The lung consolidation group CT findings were honeycomb lung,the angiogram sign,dry twigs sign,the homologous pathological type was mucinous type or mixed type.Conclusion:Knowing the various types of CT findings and clinical pathology of bronchioloalveolar carcinoma could help to improve the diagnostic accuracy of this disease.更多还原