49例复发性多软骨炎肺部和气道CT特点分析

发布时间：2018-02-11 03:47

本文关键词： 多软骨炎复发性体层摄影术 X线计算机　出处：《中国临床医学影像杂志》2017年04期 　论文类型：期刊论文

【摘要】：目的:探讨复发性多软骨炎(RPC)气管和肺部CT异常的特征。方法 :对1996年1月—2015年12月在郑州大学第一附属医院确诊的RPC病人胸部CT检查结果进行回顾分析。结果:资料完整的78例RPC患者中,49例进行了胸部CT检查。45例病人有不同程度的气管或肺部异常,21例(42.86%)病人显示有气管局限性增厚、狭窄,其中3例病人CT原始报告正常,经风湿科医生和CT科医生会诊确认有气管局限性增厚,气管狭窄或增厚主要见于声门下、气管和左右支气管,大多为不均匀狭窄并伴有部分气管侧壁下陷、气道狭窄,严重病人引起气管塌陷,27例(55.10%)伴有肺部炎症,并以肺中叶和双下肺最多见,单侧炎症多见于右肺中叶和下叶(10例),5例CT平扫未见明显气道异常,而在气管镜检查中发现有气道黏膜异常。结论:RPC可累及全身多个系统,气道和肺部受累是最常见的表现之一,CT是发现气道和肺部受累最主要的检查方法,喉镜和气管镜能早期发现黏膜和软骨损害。
[Abstract]:Objective: to investigate the CT features of tracheal and pulmonary CT in patients with recurrent polychondrositis. Methods: the chest CT findings of patients with RPC diagnosed in the first affiliated Hospital of Zhengzhou University from January 1996 to December 2015 were retrospectively analyzed. Results: Forty-nine of 78 RPC patients with complete data underwent chest CT examination. Forty-five patients with abnormal trachea or lung abnormalities in 21 cases showed localized thickening of trachea. Among them, 3 cases had normal original CT report. Local thickening of trachea was confirmed by rheumatologists and CT doctors, and stenosis or thickening of trachea was mainly found in subglottic, trachea and left and right bronchi. Most of them were uneven stenosis and accompanied by partial side wall collapse of trachea, airway stenosis, severe patients caused trachea collapse in 27 cases (55.1010) accompanied by inflammation of the lung, and most commonly seen in the middle lobe of the lung and the lower lung. Unilateral inflammation was found in 10 cases of middle lobe and inferior lobe of the right lung, 5 cases had no obvious abnormal airway on CT plain scan, but abnormal airway mucosa was found in tracheoscopy. Conclusion\% RPC can involve multiple systems of the whole body. Airway and lung involvement is one of the most common manifestations CT is the most important method to detect airway and lung involvement laryngoscope and tracheoscopy can early detect mucosal and cartilage damage.
【作者单位】：郑州大学第一附属医院;
【分类号】：R681.3;R816.41

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