摘要
目的:研究多体位CT胸膜腔造影(MP-CTP)检查的临床应用价值。方法:在普通CT胸膜腔造影(CTP)的基础上,加用胸水扩容造影、病灶局部薄层及多体位CT扫描的方法,对于57例非包裹性胸腔积液患者进行前瞻性研究,其结果与普通CTP相对比。结果:54例渗出性胸水中,普通CTP所示的胸膜病变MP-CTP均能显示,且后者检出更多病灶,尤其位于非低垂部位的结节影、胸膜不规则增厚和胸膜粘连等病灶。31例恶性渗出性胸水中,MP-CTP检出胸膜结节、胸膜不规则增厚和胸膜粘连者分别为20例、15例和8例;以上病灶在23例良性渗出性胸水中检出者分别为5例、4例和14例。结论:MP-CTP检查可提高胸膜病变的检出率,并可以初步鉴别良性及恶性渗出性胸水。
Objective： To evaluate the clinical significance of multi-positional CT pleurography （MP-CTP）. Methods： On the basis of ordinary CT pleurography （CTP）, this study applied additional methods such as muhi-positional CT scan- ning and increasing the volume of pleural effusion, high resolution CT on localised lesion. Perspective studies on 57 cases of non-encysted pleural effusion were compared with the same ones using ordinary CTP. Results： In 54 cases with exudative effusion, all lesions detected by CTP were demonstrated by MP-CTP as well, and MP-CTP detected more additional lesions, especially nodules on anterior and lateral pleura,irregular thickening of pleura and pleural adhesion. In 31 cases with malignant effusion, it was found by MP-CTP that 20 cases with pleural nodules, 15 cases with irregular pleural thickening and 8 cases with pleural adhesion. While in 23 cases with benign effusion,it was 5 cases ,4 cases and 14 cases correspondently. Conclusion： MP-CTP increases the positive finding of pleural lesions and also provides the initial differential diagnosis of benign and malignant pleural effusion.
出处
《天津医药》
CAS
北大核心
2008年第4期270-272,I0001,共4页
Tianjin Medical Journal
基金
天津市卫生局科研基金项目(项目编号:07KY03)
