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目的探讨矽肺患者胸部螺旋CT检查的价值和CT影像学表现。方法回顾性分析36例确诊矽肺患者的临床病史资料及CT影像学表现。结果 36例确诊的矽肺患者CT影像学表现中有36例矽肺结节阴影、18例小阴影聚集、11例大阴影,31例有纵隔或肺门淋巴结肿大,能够显示部分并发的支气管改变、胸膜病变、肺气肿等并发症;矽肺阴影在两肺弥漫分布,但右肺中叶内段、左肺上叶下舌段则分布相对较少。结论螺旋CT检查对于矽肺患者具有重要的价值,能够提供更多更客观的影像学信息资料,使矽肺的综合诊断更准确。
Objective To investigate the value of spiral CT chest CT and imaging features of patients with silicosis. Methods Retrospective analysis of clinical data and CT imaging findings of 36 patients with confirmed silicosis. Results Thirty-six cases of silicosis, 36 cases of small silicosis, 11 cases of big shadow and 31 cases of mediastinal or hilar lymph node enlargement were found in 36 cases of diagnosed silicosis, which could show some complicated bronchial changes, Pleural disease, emphysema and other complications; silicosis shadow diffusely distributed in both lungs, but the middle of the right middle lobe, left lobe of the upper lobe tongue segment is relatively small. Conclusion Spiral CT examination is of great value to patients with silicosis, which can provide more and more objective imaging information and make the comprehensive diagnosis of silicosis more accurate.