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[隐源性机化性肺炎的放射学特征]

[Radiological features of cryptogenic organizing pneumonia].

作者信息

Xu Jian, Song Wei, Jin Zheng-yu

机构信息

Department of Radiology, PUMC Hospital, CAMS and PUMC, Beijing 100730, China.

出版信息

Zhongguo Yi Xue Ke Xue Yuan Xue Bao. 2006 Feb;28(1):58-60.

Abstract

OBJECTIVE

To explore the radiological features of cryptogenic organizing pneumonia (COP).

METHODS

Five patients with COP were pathologically identified. The chest CT scanning was performed in all patients. The radiological features of COP were classified into four types according to pulmonary consolidation, ground grass opacity (GGO), nodule, and liner or reticular lesion. The distribution of lesions were classified according to the single or double lung fields, upper or lower lung field, or the surrounding bronchovascular bundle or subpleural area. The radiological types and distributions of the lesions were analyzed.

RESULTS

Among these 5 patients, pulmonary consolidation was found in 4 patients, ground grass opacity in 3 patients, nodules in 2 patients, and reticulation in one patient. Various radiological features were also observed at the same time. The pulmonary consolidation was distributed along the bronchovascular bundle or subpleural area. The distribution of GGO and pulmonary nodules were nonspecific.

CONCLUSIONS

The most common radiological features of COP were pulmonary consolidation and GGO. The distribution of pulmonary consolidation is specific. It extends along the bronchovascular bundle or located in the subpleural area.

摘要

目的

探讨隐源性机化性肺炎(COP)的影像学特征。

方法

对5例经病理确诊的COP患者进行胸部CT扫描。根据肺实变、磨玻璃影(GGO)、结节及条索状或网状病变将COP的影像学特征分为4种类型。根据病变位于单肺野或双肺野、上肺野或下肺野、周围支气管血管束或胸膜下区域对病变分布进行分类。分析病变的影像学类型及分布情况。

结果

5例患者中,4例出现肺实变,3例出现磨玻璃影,2例出现结节,1例出现网状改变。同时还观察到多种影像学特征。肺实变沿支气管血管束或胸膜下区域分布。磨玻璃影和肺结节的分布无特异性。

结论

COP最常见的影像学特征为肺实变和磨玻璃影。肺实变的分布具有特异性,沿支气管血管束延伸或位于胸膜下区域。

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