MSCT对创伤性肺假性囊肿的诊断和随访价值

MSCT and Follow-up Value to the Diagnosis of Traumatic Pulmonary Pseudocyst

目的探讨创伤性肺假性囊肿的MSCT表现,提高对其诊断及随访观察。方法回顾性分析经临床及影像学随访证实的22例创伤性肺假性囊肿患者的影像资料。结果 22例患者中共有假性肺囊肿30个,多发6例,单发16例;病灶位于右肺上叶7个,右肺下叶13个,右肺中叶3个,左肺上叶3个,左肺下叶4个。首次CT检查发现30个假性肺囊肿中,肺气囊肿9个,肺气液囊肿18个,液性囊肿3例。囊肿形态上多呈圆形和椭圆形。22例患者均有1-4次CT复查,大部分病变一周后复查均见囊肿缩小。结论 MSCT能迅速准确清晰显示创伤性肺假性囊肿的病变特征,为临床治疗和随访提供很大的帮助和指导价值。

Objective To investigate MSCT manifestation of traumatic pulmonary pseudocyst, and improve the diagnosis and follow-up. Methods Retrospective analysis confirmed by clinical and radiographic follow-up of 22 cases of patients with traumatic pulmonary pseudocyst image data. Results 22 patients had 30 pseudo pulmonary cyst including 6 multiple cases and 16 single cases.7 lesions can be located in the right lung upper lobes and 13 in the lower lobes, 3 in the lower lobe middle left lung lobes and 4 in the upper lobes. The CT examinations revealed for the first time 30 pseudo cysts of lung, pulmonary cyst 9 aeroceles,18 lung gas-liquid cyst, liquid cyst in 3 cases. The cyst assumes the circular and oval form. 22 patients had 1-4 CT reviews, most of the lesions in a week after the CT reviews of homogeneous cysts shrank. Conclusion MSCT can clearly display characteristics of traumatic lesions of lung pseudocyst, providing great help for clinical treatment, follow-up and guidance.