肺孤立性炎性结节的CT分析

CT compare of solitary inflammatory nodules of the lung

目的探讨肺内炎性结节的CT表现及其诊断价值。方法对照分析经手术及病理证实的97例肺内炎性病变的CT表现,其中肺炎性假瘤45例,结核球42例,球形肺炎10例。结果肺炎性假瘤、肺结核瘤以及球形肺炎的CT符合率分别为33.3%、73.8%、50%。结论通过仔细对照分析和重新评判,对大多数肺内炎性结节是可以作出定性诊断的。

Objective To discuss CT character and evaluate the diagnostic value of solitary inflammatory nodules of the Lung. Methods CT character in 97 patients with solitary inflammatory nodules of the lung confirmed by surgery and pathology were comparatively analyzed, included inflammatory pseudotumors（45cases）,tuberculomas（42 cases）,spherical pneumonia（10 cases）. Results CT diagnosis coincided with final diagnosis in 33.3% patients with inflammatory pseudotumors,73.8% patients with tuberculomas,50% patients with spherical pneumonia. Conclusion Most solitary inflammatory nodules of the lung can often be diagnosed correctly through careful study and reappraisal of CT findings.