论文部分内容阅读
目的:分析胸部恶性淋巴瘤患者临床特点和CT诊断效果。方法:回顾性分析2013年1月-2015年12月经手术病理组织切片确诊的56例胸部恶性淋巴瘤患者临床资料,并比较CT诊断与手术病理检测符合率以及分析CT诊断临床特点。结果:56例患者经CT诊断发现,胸部恶性淋巴瘤结节、肿块型者23例,肺泡肺炎型者16例、粟粒阴影型者3例、支气管血管淋巴型者6例、心包和胸膜病变者8例,与手术病理检查结果相比,CT诊断符合率为96.4%,仅2例患者误诊或漏诊;CT检查发现肺部淋巴瘤主要表现为肿块、结节型、粟粒型血型播散型。结论:胸部淋巴瘤在CT影像学表现上具有多种形式,但具有相应的特征性,CT平扫以及CT增强扫描有助于提高胸部恶性淋巴瘤的诊断效果。
Objective: To analyze the clinical features and CT diagnosis of patients with thoracic malignant lymphoma. Methods: The clinical data of 56 cases of thoracic malignant lymphoma diagnosed by surgical pathology from January 2013 to December 2015 were retrospectively analyzed. The coincidence rates of CT diagnosis and surgical pathology were compared, and the clinical features of CT diagnosis were analyzed. Results: Fifty-six patients were diagnosed by CT. Twenty-three patients with malignant breast lymph nodes and masses, 16 with alveolar pneumonitis, 3 with miliary shadow, 6 with bronchial lympho-nosis, 8 cases, compared with the results of surgical pathology, CT diagnostic coincidence rate was 96.4%, only 2 patients misdiagnosis or missed diagnosis; CT examination found that the main manifestations of pulmonary lymphoma mass, nodular, miliary blood type disseminated. Conclusion: There are many manifestations of CT findings in chest lymphoma, but CT scan and CT scan are helpful to improve the diagnosis of CT.