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目的 :探讨 HRCT诊断肺淋巴管平滑肌瘤病的价值。方法 :回顾分析 2例经病理证实的肺淋巴管平滑肌瘤病的 HRCT表现及其胸片表现。结果 :2例 HRCT均表现为两肺弥漫均匀分布、大小不等的薄壁含气囊腔 ,直径 0 .2~ 1.5 cm ,囊腔壁厚 1~ 2 mm ;2例均有乳糜胸水 ;1例有乳糜腹水 ;两肺无明显间质纤维化或结节影。结论 :肺淋巴管平滑肌瘤病 HRCT表现具有特征性 ,对其诊断和鉴别诊断很有价值。
Objective: To explore the value of HRCT in the diagnosis of pulmonary lymphangioleiomyomatosis. Methods: The HRCT findings and chest radiographs of 2 cases of pulmonary lymphangioleiomyomatosis confirmed by pathology were retrospectively analyzed. Results: Two cases of HRCT showed a thin-walled balloon-filled space with a uniform distribution of the two lungs, ranging in size from 0.2 to 1.5 cm in diameter, and a cyst wall thickness of 1 to 2 mm. Two cases had pleural effusions; There was ascites in the chyloventrum; no interstitial fibrosis or nodules were evident in both lungs. Conclusion : The HRCT features of pulmonary lymphangioleiomyomatosis are characteristic, which is valuable for the diagnosis and differential diagnosis.