肺炎性假瘤的平片与CT诊断(附14例分析)

Tke Diagnosis of Pulmonary Inflammatory Pseudotumor with Chest Film and CT

目的；探讨肺炎性假瘤平片与CT征象的诊断价值。材料与方法；笔者分析了14例经手术病理证实的肺炎性假瘤X线平片与CT资料。男9例，女5例，平均年龄55岁。摄胸部正倒位片14例、病灶分层片4例，支气管颜面分层片4例；胸部CT增强扫描11例。结果：病灶发生于左肺9例、左肺5例；形态呈圆形及椭圆形6例、楔形2例、不规则形6例；发现病灶部有局限性胸膜增厚者6例。结论：CT和高分辨率CT在肺炎性假瘤的诊断中有重要作用，应强调对病灶的部位、形态、边缘、密度及胸膜改变等征象进行综合分析。

Purpose: To evaluate the value of the CT and the chest film findings in the diagnosis of pulmonary inflmmatory pseudotumor. Materials and Metbods: In 14 patients with pulmonary in flammatory pseudotumor comfirmed by operation and pathlolgical examination,the CT and X-rays findings were analyzed. There were 9 male patients and 5 female patients with mean age 55 years. Conventional chest film (including PA view and lateral view) and enhanced CT were performed' Results: Nine patients had a lesion in the right lung and five patients had the lesion in the left lung' The lesions manifested as round and roundlike in 6 cases, wedge-shaped in 2 cases, irregular in 6 cases. Localized pleural thickening near the lesion area can be seen in six patients- conclusion: CT and HRCT played an important role in the diagnosis of pulmonary innammatory pseudotumor. Analysis with the lesion position, margin, density morphololgic and pleural change should be emphasized.