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目的探讨CT在胸部结节病诊断和鉴别诊断中的价值。方法回顾性分析18例胸部结节病患者的CT检查资料。5例经纤支镜活检病理证实,13例经临床随访治愈确诊。结果15例病变累及肺门或/和纵隔淋巴结。增大的肺门淋巴结呈两侧对称性,纵隔淋巴结呈广泛分布。增大淋巴结密度均匀,边界清楚,无浸润性改变,增强扫描呈中度均匀性强化。另3例呈肺间质纤维化改变。结论CT扫描是胸部结节病诊断和鉴别诊断有效的方法,并能观察病变的变化,指导临床治疗。
Objective To investigate the value of CT in the diagnosis and differential diagnosis of chest sarcoidosis. Methods The CT findings of 18 patients with thoracic sarcoidosis were retrospectively analyzed. 5 cases confirmed by biopsy biopsy pathology, 13 cases were clinically confirmed by clinical follow-up. Results 15 cases of lesions involving the hilar or / and mediastinal lymph nodes. Hilar lymph nodes increased bilateral symmetry, mediastinal lymph nodes were widely distributed. Increased lymph node density, clear boundaries, no changes in infiltration, enhanced scanning was moderately enhanced. The other 3 cases of pulmonary interstitial fibrosis. Conclusion CT scan is an effective method for diagnosis and differential diagnosis of chest sarcoidosis, and can observe the changes of lesions and guide the clinical treatment.