31例胸内结节病的影像学分析

目的:探讨胸内结节病的平片与CT影像特征及临床诊断价值。方法:回顾性分析31例结节病的影像学特征并随访其激素治疗后影像学表现。结果:肺门淋巴结增大,CT显示26例,平片显示22例;纵隔淋巴结增大,CT显示28例,平片显示11例;肺内病灶呈多形性表现,无特异性,以CT敏感度高;胸膜病变较少见。3年随访发现25例治疗有效,8例有反复。结论:淋巴结增大是本病的主要影像学表现。X线结合CT检查在诊断胸内结节病、判断活动期、评价激素治疗效果方面,具有一定的临床价值。

Analysis of the Features of Chest X-ray and CT of Scarcoidosis in Breast

To study the features of X-ray and CT apparence of scarcoidosis in breast and discuss their diagnostic values. Methods: The chest X-ray and CT appearance of 31 cases were analyzed retrospectively. The follow-up on these cases were performed after adrenal cortical hormone treatment and studied using the same methods. Results: By CT scan, we found 26 cases with lymph node enlargement on flitateral hili and 28 cases with lymph node enlargement in mediastinur while the images of chest X-ray shew 22 cases and 11 cases respectively. The appearance in the pulmonary very greatly, without obvious characters. CT is the most sensitive measure to demonstrate these abnormalities. 3 years later , the enlarged lymph node have shrinked or disappeared in 25 cases, while the treatment haven't worked in 8 cases. Conclusion: Lymph node enlargement is the main feature of sarcoidosis in medical imaging and chest X-ray combined with CT is an effective method to diagnose it and evaluate the curative effect of adrenal cortical hormone treatment.