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不完全叶间裂:CT支气管血管分析

Incomplete interlobar fissures: bronchovascular analysis with CT.

作者信息

Otsuji H, Uchida H, Maeda M, Iwasaki S, Yoshiya K, Hatakeyama M, Ohishi H, Iioka S, Kitamura S, Narita N

机构信息

Department of Radiology and Oncoradiology, Nara Medical University, Japan.

出版信息

Radiology. 1993 May;187(2):541-6. doi: 10.1148/radiology.187.2.8475304.

DOI:10.1148/radiology.187.2.8475304
PMID:8475304
Abstract

Thin-section computed tomographic scans of both lungs in 154 patients, including seven cadavers, with lung cancer (n = 37), diffuse (n = 32) or inflammatory (n = 30) lung disease, other proved or suspected disease (n = 23), or healthy lungs (n = 32) were analyzed to determine the frequency of incomplete interlobar fissure (IIF). An IIF was defined as a discontinuous linear shadow that remained in contact with the chest wall. An IIF was found in 128 of 154 right lungs (83.1%) and 77 of 154 left lungs (50.0%). Some bronchovascular structures crossed or passed through two contiguous lobes in the fused area. The most common bronchovascular structure associated with an IIF was a pulmonary vein; this association was found in 87 right lungs (56.5%) and 20 left lungs (13.0%). An IIF was traversed by a pulmonary artery in only seven right lungs and 13 left lungs or by a bronchus in only three lungs. It is concluded that recognition of an IIF might improve understanding of the spread of pulmonary disease.

摘要

对154例患者(包括7例尸体)的双肺进行薄层计算机断层扫描,这些患者患有肺癌(n = 37)、弥漫性(n = 32)或炎性(n = 30)肺部疾病、其他已证实或疑似疾病(n = 23)或健康肺(n = 32),以确定不完全叶间裂(IIF)的发生率。IIF被定义为与胸壁保持接触的不连续线性阴影。在154个右肺中的128个(83.1%)和154个左肺中的77个(50.0%)发现了IIF。一些支气管血管结构在融合区域穿过或经过两个相邻的肺叶。与IIF相关的最常见支气管血管结构是肺静脉;在87个右肺(56.5%)和20个左肺(13.0%)中发现了这种关联。只有7个右肺和13个左肺的IIF被肺动脉穿过,只有3个肺的IIF被支气管穿过。结论是,认识IIF可能有助于提高对肺部疾病传播的理解。

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