多层螺旋CT检查在恶性胸膜间皮瘤中的临床价值.pdf

JOURNAL OF RARE AND UNCOMMON DISEASES, DEC. 2021,, , Total
·论著·
多层螺旋CT检查在恶性胸膜间皮瘤中的临床价值*
辜ses of longitudinal diaphragmatic lymph
nodes were enlarged, 2 cases had extra-thoracic invasion, 1 case had intrapulmonary metastasis, 1 case had liver metastasis, and 17 cases had
different amounts of pleural effusion and atelectasis. CT plain scan lesions are of equal, low or mixed examination is
mild-significantly enhanced, and non-enhanced liquefaction necrosis and cystic transformation are seen in larger lesions. Conclusion Malignant
pleural mesothelioma has certain characteristics with multi-slice spiral CT, which is of great value in its diagnosis and differential diagnosis.
Keywords: Multi-slice Spiral CT; Malignant Pleural Mesothelioma; Clinical Value
　　恶性胸膜间皮瘤(malignant pleural mesothelioma， 痛、胸闷、气短，4例出现乏力、消瘦及纳差，1例体检发现
[1]
MPM)为原发于胸膜的较少见的肿瘤 ，起源于胸膜的间皮细 无明显症状，2例患者伴有杵状指。
胞和纤维细胞，可位于胸膜的任何部位，80%发生于脏层胸 检查方法 采用胸部GE16CT平扫+增强扫描：患者采
膜，20%发生于壁层胸膜，男性明显多于女性；现如今发病 取仰卧位，扫描范围自胸腔入口至肋膈角以下。常规扫
率有上升趋势，预后差。该病起病隐匿，临床症状与体征不 描层厚为10mm、层间隔10mm，管电压120kV，管电流
[2]
典型