肺部炎性假瘤的CT诊断
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【中图分类号】R816.4【文献标识码】A【文章编号】1672-3783(2011)06-0035-01
【摘要】目的探讨肺部炎性假瘤的CT表现。 材料与方法 12例经手术和病理证实的肺部炎性假瘤。男7例,女5例,年龄21～67岁,平均44岁。12例均作CT平扫及增强检查。 结果 CT平扫均表现为等或略高密度；4例界限清，8例界限模糊，团注碘佛醇100ml后增强扫描，动脉期8例界限模糊病灶周边轻到中度强化，4例界限清楚动脉期无强化；门脉期及延迟期均表现为周边环状强化及中央无或不均强化，3例内见线状分隔强化。结论 肺部炎性假瘤的边界及强化方式与其所处的病理阶段有关，动态增强扫描对其鉴别诊断有一定的价值。
【关键词】断层、X线计算机 肺部炎性假瘤
Inflammatory pseudotumor of the CT diagnosis
Linjieguo
【Abstract】Objective To investigate the pulmonary inflammatory pseudotumor of the CT. Materials and Methods 12 patients with surgically and pathologically confirmed pulmonary inflammatory pseudotumor. 7 males, 5 females, aged 21 to 67 years, mean 44 years old. 12 cases were as plain and enhanced CT examination. The results are expressed as CT scan, etc., or slightly higher density; four cases of clear boundaries, 8 cases of blurred, Ioversol 100ml bolus after enhanced scanning, 8 cases blurred the boundaries between arterial lesions with mild to moderate peripheral enhancement, four cases of boundary clear that no enhancement in the arterial phase; portal venous phase and delayed phase appeared as ring enhancement and central non-peripheral or inhomogeneous enhancement, three cases were seen in the linear separation strengthened ......
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