矽肺结节的CT诊断与鉴别诊断

CT Diagnosis and Differential of the Silicotic Nodule

目的:分析矽肺结节及合并症的CT诊断与鉴别诊断。材料与方法:选择105例矽肺患者及经临床病理诊断的合并结核及肺癌患者的肺内结节进行CT分析。结果:矽肺合并肺结核47例,合并肺癌16例。结论:矽肺结节的分布特点,周边纤维化和肺气肿、肺门淋巴结肿大伴钙化,临床表现、实验室检查及在胸片基础上的CT定期检查是鉴别的重点。

Purpose： To analyse CT diagnosis and differential of tlie silicotic nodule and its complication. Materials and Methods： 105 cases of the silieotie nodule and its eopmlieation of tuberculosis or lung cancer that all confirmed by pathology were studied by cr. Results： 47 eases were silicosis united tuberculosis and 16 cases were silicosis united lung cancer. Conclusion： The characteristic distribution of the silicotic nodule, peripheral fibrous degeneration and emphysema, unlargement of hilar or mediastinal lymph nodes, clinical situation, laboratory examination, and periodic CT examine are the essence of the differential.