肺炎性假瘤的CT诊断与鉴别诊断

目的: 分析肺炎性假瘤的CT表现.方法: 对32例经手术病理证实的肺炎性假瘤的CT及临床资料进行回顾性分析.结果: 病灶多位于肺胸膜下,广基地与胸膜相连;多呈圆形或类圆形,边缘光滑,直径2-5cm,密度均匀;边缘可见粗长毛刺,棘状突起或浅分叶;可有淋巴结肿大.结论: 全面综合地分析肺炎性假瘤的CT表现特征,结合肺内感染病史,肺炎性假瘤的正确诊断与鉴别诊断是很有帮助.

CT Diagnosis and Differential Diagnosis of Pulmonary Inflammatory Pseudotumor

Objective: To analyze the CT manifestations of pulmonary inflammatory pseudo tumors.Methods: The data of 32 cases with pulmonary inflammatory pseudo tumor,which proved pathologically after surgey were investigated retrospectively.Results: The lesions wryer usually located at the periphery,the base of the lesion were extensively adhesive to pleural with localized pleural thickening,most of them were round or round-like mass,margin was smooth,density was homogeneous,diameter was around 2cm-5cm;the edge of lesion presented long and thick speculations,or shallow lobulation,and mediastinal lymphadenectasis.Conclusion: It is very helpful to diagnostic and differential diagnosis of pulmonary inflammatory pseudo tumor by analyzing the CT features all sidedly and emphasis on the history of infection of patient.