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[间质性肺疾病的影像学表现]

[Imaging findings in interstitial lung disease].

作者信息

Brauner Michel W, Brillet Pierre-Yves, Valeyre Dominique

机构信息

Service de Radiologie, Hôpital Avicenne, 125, route de Stalingrad, 93009 Bobigny; et UFR SMBH, Université Paris 13, Bobigny.

出版信息

Rev Pneumol Clin. 2005 Jun;61(3):164-70. doi: 10.1016/s0761-8417(05)84808-4.

Abstract

Imaging is an essential step in the management of patients with interstitial lung disease, contributing to detection, diagnosis, evaluation of pulmonary damage and prognosis, surveillance, and screening for complications. The chest x-ray is the fundamental examination. High-resolution computed tomography is often useful, particularly for severe forms and for cases of difficult diagnosis. It should not however be used as a routine examination for the initial work-up nor repeated systematically. Computed tomography is more contributory to the diagnosis of subacute or chronic interstitial pneumonia than for acute forms. We present here the different imaging methods, the role of imaging in chronic and acute interstitial pneumonia, and discuss the main computed tomographic signs of chronic interstitial lung disease.

摘要

影像学检查是间质性肺疾病患者管理中的重要步骤,有助于疾病的检测、诊断、肺损伤及预后评估、监测以及并发症筛查。胸部X线检查是基本检查方法。高分辨率计算机断层扫描通常很有用,尤其是对于严重类型和诊断困难的病例。然而,它不应作为初始检查的常规手段,也不应系统性地反复使用。计算机断层扫描对亚急性或慢性间质性肺炎的诊断比急性形式更有帮助。我们在此介绍不同的影像学检查方法、影像学在慢性和急性间质性肺炎中的作用,并讨论慢性间质性肺疾病的主要计算机断层扫描征象。

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