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目的:观察胸部CT在诊断弥漫性泛细支气管炎(DPB)中的临床价值。方法:选取2012年10月-2014年10月间我院收治的50例DPB患者作为临床研究对象,均进行胸部CT检查,观察和分析检查结果。结果:胸部CT检查能够清晰的显示DPB患者的病灶,临床医师可以通过CT明确的观察到患者的弥漫性粟粒状结节阴影树芽征、远端支气管管壁增厚、肺间质纤维化及支气管粘液栓等病变情况。对45例有副鼻窦炎史的患者进行副鼻窦CT扫描显示,急性副鼻窦炎有27例,慢性鼻部炎症有18例,CT检查副鼻窦炎的诊断率为100%。结论:胸部CT能够明确检测到DPB及其合并的慢性副鼻窦炎,在DPB患者的临床诊断中具有非常重要的价值,值得在临床上进一步推广。
Objective: To observe the clinical value of chest CT in the diagnosis of diffuse panbronchiolitis (DPB). Methods: Fifty cases of DPB patients admitted to our hospital from October 2012 to October 2014 were selected as the clinical study objects. Thoracic CT examination was performed to observe and analyze the results. Results: Chest CT examination can clearly show the lesions in patients with DPB. Clinicians can clearly observe the diffuse miliary nodules shadow tree buds, distal bronchial wall thickening, pulmonary interstitial fibrosis, Bronchial mucus plug and other lesions. A paranasal CT scan of 45 patients with a history of sinusitis showed that there were 27 cases of acute sinusitis, 18 cases of chronic nasal inflammation and 100% of CT. Conclusion: Chest CT can clearly detect DPB and its combined chronic sinusitis, which is of great value in the clinical diagnosis of DPB. It is worth to be further popularized clinically.