胸部CT对弥漫性泛细支气管炎的诊断价值

目的:探析对弥漫性泛细支气管炎患者行以胸部CT检查的诊断价值。方法:择取2016年1月至2018年1月我院收治的65例弥漫性泛细支气管炎患者,所选患者均接受胸部CT检查,其中经病理活检确诊13例,经临床诊断确诊52例。结果:胸部CT检查结果如下:60例患者表现出肺组织小叶中心短线状阴影或分枝状阴影,51例患者表现出典型树芽征表现,44例患者表现出肺组织细支气管管壁增厚症状,26例患者表现出中央型肺组织细支气管扩张明显症状,以双规征、环状透光影为主要临床表现,19例患者表现出肺组织间质纤维化症状,57例患者经过鼻旁窦CT检查发现有慢性鼻旁窦炎,弥漫性泛细支气管炎通常会有副鼻窦炎出现,还会使上颌窦受到累及。结论:对弥漫性泛细支气管炎患者行以胸部CT检查效果良好,可以作为诊断与鉴别诊断的一种方式,同时配合使用鼻旁窦CT检查,对患者确诊有利。

Objective Diagnostic value of chest CT examination in patients with diffuse bronchiolitis.Methods Selected from January 2016 to January 2018 in our hospital 65 cases of diffuse panbronchiolitis,the selected patients received chest CT examination,13 cases confirmed by pathological biopsy,clinical diagnosis of 52 cases.Results The results of the chest CT examination are as follows:60 cases showed a short line shadow or branched shadow in the lobule center of lung tissue,51 cases showed typical tree buds sign,44 cases showed thickening of bronchiolar wall in lung tissue,26 cases showed central lung tissue bronchiectasis and obvious symptoms,the main clinical manifestations were double sign and circular transillumination,19 patients showed pulmonary interstitial fibrosis,chronic paranasal sinusitis was found in 57 patients after CT examination through paranasal sinus.Conclusion Chest CT examination is effective in patients with diffuse bronchiolitis,it can be used as a way of diagnosis and differential diagnosis,simultaneous use of paranasal sinus CT examination,it is beneficial to the patient’s diagnosis.