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目的探讨肾移植术后肺感染早期高分辨率CT表现。方法收集郑州市第七人民医院2008-06-2010-12收治76例肾移植术后早期行高分辨率CT扫描患者影像资料,患者均进行胸部X线及HRCT检查。结果 76例患者X线检查阴性62例,经肺部高分辨率SCT检查全部病例均发现异常。最常见的CT表现是:(1)磨玻璃样影30例;(2)小叶间隔增厚,肺间质纤维化19例;(3)小结节影27例。结论肾移植术后患者出现临床症状者,应该早期进行高分辨率SCT检查,以便早期发现肺内病变,提高治疗效果。
Objective To investigate the early high-resolution CT findings of lung infection after kidney transplantation. Methods Seventh People ’s Hospital of Zhengzhou collected 2008-06-2010-12 76 cases of early renal transplantation after high resolution CT scan imaging data, the patients were chest X - ray and HRCT examination. Results Sixty-six patients were negative in X-ray examination. All the cases were abnormally detected by high resolution SCT in lung. The most common CT manifestations were: (1) ground glass-like shadow in 30 cases; (2) interlobular septal thickening, pulmonary interstitial fibrosis in 19 cases; (3) nodules in 27 cases. Conclusion Patients with clinical symptoms after renal transplantation should be high-resolution SCT early detection in order to early detection of lung lesions and improve the therapeutic effect.