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[肺部高分辨率计算机断层扫描:磨玻璃影及其鉴别诊断]

[High resolution computed tomography of the lungs: ground glass opacity and its differential diagnosis].

作者信息

Diederich S

机构信息

Institut für Diagnostische und Interventionelle Radiologie, Marien Hospital Düsseldorf.

出版信息

Radiologe. 2010 Dec;50(12):1141-52. doi: 10.1007/s00117-010-2070-1.

Abstract

Ground glass opacity (GGO) is defined as diffuse pulmonary infiltration which does not obscure vessels and bronchial walls and is due to intra-alveolar or interstitial processes of pulmonary parenchyma which only partially replace air. The etiology is variable including edema, airspace and interstitial pneumonia due to different organisms, non-infectious pneumonitis as well as tumor manifestations. Physiological processes, such as poor ventilation of dependent lung areas and effects of expiration can also present as ground glass opacity.This review describes the physiology and pathophysiology of GGO, illustrates different examples of common diseases presenting with GGO and reviews how GGO may be used for diagnosis and differential diagnosis of pulmonary disease.

摘要

磨玻璃影(GGO)被定义为弥漫性肺浸润,其不会使血管和支气管壁模糊不清,是由于肺实质的肺泡内或间质过程仅部分替代空气所致。病因多种多样,包括由不同病原体引起的水肿、气腔和间质性肺炎、非感染性肺炎以及肿瘤表现。生理过程,如肺低垂部位通气不良和呼气效应,也可表现为磨玻璃影。本综述描述了磨玻璃影的生理学和病理生理学,举例说明了表现为磨玻璃影的常见疾病的不同实例,并综述了磨玻璃影如何用于肺部疾病的诊断和鉴别诊断。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e7cc/7095998/bb85873cd389/117_2010_2070_Fig1_HTML.jpg

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