摘要
鉴于结节病胸部表现的多样性和多变性，对２５例结节病的胸部Ｘ线和ＣＴ所见与支气管肺泡灌洗液（ＢＡＬＦ）细胞学变化的相关性进行了研究。结果表明：ＣＴ对胸片０～Ｉ期患者能发现纵隔区更多组肿大淋巴结和多处肺实质病变；肺内病变多沿支气管肺纹理分布；ＣＴ肺扫描所见与ＢＡＬＦ细胞总数呈直线相关，ＣＴ表现有纤维化病变者多伴有ＢＡＬＦ中性粒细胞增多。提示ＣＴ对于结节病患者作为重要的补充检查手段，能对纵隔和肺部病变作出更精确的评价。
onsidering protean and variability of chest find-ings of sarcoidosis,the correlation between finding onroentgenogram and CT scans with changes of total,dif-ferential cell count and subsets of lymphocytes of BALFin 25 cases with sarcoidosis was studied.The results showed that CT could detect more groups of enlargedlymph nodes in the mediastinum and more minimal le-sions in lung parenchyma in those patients who showedstage 0 and I on chest roentgenogram The parenchymalchanges were distributed mainly along the bronchovas-cular sheath Good correlation was found between find-ings on CT scan and total cell count in BALF. Fibroticehanges on CT scan were usually associated with an in-crease in neutrophils of BALF. It indicated that CTcould more precisely assess the lesions in the medi-astinum and lung parenchyma and be served as an im-portant supplementary diagnostic measure toroentgenogram for patients with sarcoidosis.
出处
《中华结核和呼吸杂志》
CSCD
北大核心
1995年第6期360-362,I042,共3页
Chinese Journal of Tuberculosis and Respiratory Diseases
关键词
类肉瘤病
胸部
X线摄影
CT
支气管肺泡
细胞学
Sarcoidosis X-Rays Tomogra-phy
X-Ray computed Bronchoalveolar lavage fluid
