Hernanz-Schulman M
Department of Radiology and Radiological Sciences, Vanderbilt Medical Center, Nashville, Tennessee.
Radiol Clin North Am. 1993 May;31(3):631-49.
This article has reviewed the major pulmonary cystic lesions occurring in infants and children. The chest radiograph will initially reveal either single or multiple well-circumscribed radiopaque or radiolucent areas. In younger patients, radiopaque lesions are best evaluated with sonography, which can define the internal architecture of the mass, its location, and vascular supply. On the other hand, radiolucent lesions, lesions inaccessible to the sonographic beam, and lesions requiring analysis of the pulmonary parenchyma are best assessed with CT. MR is helpful in the preoperative evaluation of sequestration after infancy. Thus within the framework of an age-dependent algorithm, pulmonary cystic lesions can be analyzed effectively and an appropriate diagnosis established.
本文综述了婴幼儿期出现的主要肺部囊性病变。胸部X线片最初会显示单个或多个边界清晰的不透光或透光区域。对于较年幼的患者，不透光病变最好用超声检查来评估，超声可以确定肿块的内部结构、位置和血管供应。另一方面，透光病变、超声束无法到达的病变以及需要分析肺实质的病变最好用CT评估。磁共振成像有助于婴儿期后隔离症的术前评估。因此，在基于年龄的算法框架内，可以有效地分析肺部囊性病变并做出适当诊断。
