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When there is extensive caseation and the granulomas involve a larger bronchus, it is possible for much of the soft, necrotic center to drain out and leave behind a cavity.

当存在广泛的干酪性坏死并且肉芽肿累及较大的支气管时,大量的坏死物排出,留下空洞。

Results (1)Findings characteristics:small vacuole sign,pleural retraction sign and obstructive pneamonia only oppeared in peripheral lung cancer,thin-walled cavity less than 3 cm in diameter should be seen peculiar sign of it,thick-walled inregular cavity could be found in inflammatory pseudotumor and tuberculoma,spiculate protuberance showed mostly in peripheral lung cancer,but appeared in inflammatory lesion too,air bronchogram,pleural tail sign and long spiculation appeared mostly in inflammatory pseudotumor,calcification,pleurae thckening appeared mostly in tuberculoma.

结果(1)征象特点:小泡征、胸膜凹陷征、阻塞性肺炎仅见于周围型肺癌;小于3cm薄壁空洞为周围型肺癌的少见征象之一;炎性假瘤、结核球可出现不规则厚壁偏心空洞;棘状突起除周围型肺癌多见外,炎性病变亦可出现;支气管充气征、长毛刺、胸膜尾征炎性假瘤出现率高;钙化、胸膜肥厚结核球多见。

Objective To explore the diagnostic value of transbronchial lung biopsy plus bronchoalveolar lavage in pulmonary cavity lesion.

目的 评价经纤维支气管镜肺活检联合支气管肺泡灌洗术对肺部空洞性病变的诊断价值。

MPR and VR were applied in the imaging post-processing. Results: All cases were divided into four groups according to the thoracic CT findings and pathologic results as follows:① spheral caseous pneumonia;② tuberculous granuloma;③ fibrous caseous nodule;④ Focal pulmonary consolidation with cavitation. The spheral lesion appeared inhomogeneous density (44/58). cavitation (14/58) or satellite foci (21/58). Contrast scanning was carried out in 31 cases, of which peripheral or ringshaped enhancement was seen in 15 cases, no enhancement in 9 cases and extensive enhancement was seen in 7 cases.

结果:依据影像学表现、随访结果和病灶的病理改变,将58例球形肺结核分为四种类型:①球形干酪肺炎11例,体积较大(最大直径3~5cm),边缘模糊或毛糙,可见晕征,无强化或环行强化;②结核性肉芽肿19例,软组织密度,形态规则或不规则,边缘清楚或光整,强化模式为均匀强化或厚壁强化;③纤维干酪结节14例,规则球形,边缘光滑锐利,内部密度不均匀,可见钙化,多无强化或薄壁环行强化;④结核空洞14例,干酪空洞或纤维空洞,内壁不光整,可见到引流支气管(2例)。

this gets sick the clinical symptom not to have the characteristic value, the medical history has the reference value.the sphere focus of infection has the crecent moon in the phantom performance to draft, the air bronchial tube drafts, the corona drafts to this sickness has the prompt value, sends the tubercle to see the small empty shade to have the diagnosis value, if in the discovery meniscus cavity has along with the body posture change "in the hole the ball drafts", has the important diagnosis value to the lung aspergillomycosis.this gets sick the diagnosis needs the pathology and the bacteriology inspection.

本病临床症状无特征性,病史有参考价值。在影像表现上球形病灶有新月征、空气支气管征、晕征对本病有提示价值,多发小结节均见小空洞影有诊断价值,如发现半月形空洞内有随体位改变的&洞中球征&,对肺曲菌病有重要诊断价值。本病的确诊需病理和细菌学检查。

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