赵锡立 崔志鹏 赵锡立(河南开封医学高等专科学校第一附属医院放射科,开封 475001)； 崔志鹏(中国人民解放军总医院放射科,北京 100853) 临床放射学杂志 2000 0 19 3


    关键词：肺部疾病；泛细支气管炎；影像学；诊断 期刊 lcfsxzz 0 胸部放射学 fur -->


    

摘 要：目的 探讨弥漫性泛细支气管炎(DPB)的临床与影像学表现，以提高对本病的认识。 材料与方法 对2例经病理证实并有完整的临床、实验室及肺功能检查，以及胸片及高分辨率CT(HRCT)检查的弥漫性泛细支气管炎进行回顾性分析。 结果 2例临床表现为咳嗽、咯痰及活动后气短。胸片示两肺弥漫性分布的小结节影及肺过度充气膨胀并两下肺支气管扩张，HRCT像上：①肺小叶中心性小结节影；②小支气管和细支气管扩张；③支气管壁增厚。同时伴有副鼻窦炎或既往有副鼻窦炎病史。 结论 密切结合临床表现、实验室检查、肺功能检查及胸部、副鼻窦影像学表现，有助于本病的早期诊断，DPB的确诊仍依赖于病理组织学检查。

    

Imaging Findings ofDiffuse Panbronchiolitis

ZHAO Xili CUI Zhipeng

    ( Department ofRadiology, No.1 Affiliated Hospital of Kaifeng Medical College, Kaifeng, Henan Province475001, P.R.China)

ABSTRACT： Objective To make a further understanding of diffusepanbronchiolitis (DPB) by analyzing its clinical and imaging manifestations. Materials and Methods The clinical andlaboratory data, including lung function test, as well as the findings on chest films andHRCT scans in 2 cases with pathologically-proved DPB were retrospectively analyzed. Results Both cases presentedclinically coughing, sputum, shortness of breath on exertion and paranasal sinusitis or ahistory of previous paranasal sinusitis. Diffusely distributed fine nodules,hyperinflation of the lungs and bronchiectasis of lower fields were seen on chest films.Findings on HRCT scans were as follows: (1) central nodules in lobules; (2) bronchiectasisand bronchiolectasis; (3) thickening of bronchial wall. Conclusion Correct diagnosis of DPB should be based on pathologicstudy, although clinical and laboratory data, as well as imaging findings are veryhelpful.

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