【摘要】 目的通过分析肺炎型肺癌的CT特征,提高本病的诊断水平。方法对15例病理证实的肺炎型肺癌的CT资料进行回顾性分析。结果除1例两肺弥漫分布外,其余14例CT均表现为肺叶实变,叶间裂向外膨隆。7例部分病灶整体或周边伴有磨玻璃样改变。14例可见支气管充气征,充气的支气管多无明显扩张,呈枯枝状,较僵直,粗细不均,并有挤压推移。8例增强后有4例可见“血管造影”征,显示的血管僵直、管壁毛糙、粗细不均匀。5例CT随访,病灶有不同程度的增大,密度变致密。结论肺炎型肺癌的CT表现有一定的特征性,结合临床有助于正确的诊断。更多还原

【Abstract】 Objective To improve the diagnostic level of pneumonic-type lung carcinoma by studying CT characteristics.Methods CT data of 15 patients with pathologically proved pneumonic-type lung carcinoma were analyzed retrospectively.Results Except in 1 patient with bilateral diffuse lesions,the CT appearances in remaining 14 patients were lobar consolidation with bulging of the interlobar fissure.Ground-glass opacities were found in the whole or the circumference of the lesions in 7 patients.14 patients had leafless tree like,irregular,stretching,squeezing of the air-filled bronchus within the area of consolidation,most of them were not dilation.CT angiogram sign was identified in 4 of 8 patients after intravenous contrast administration,showing the irregular,stretching vessels.Follow-up was made in 5 patients,and the lesions became somewhat larger in size and higher in density.Conclusion CT appearances of pneumonic-type lung carcinoma have some characteristics.Combining clinical information,CT is useful for the correct diagnosis.更多还原