标题：支气管黏液嵌塞的CT诊断

      作者：邵艳波，徐华强，朱莉莉，陈方奇，袁新平
    （中国人民解放军第454医院医学影像科，江苏 南京 210002）

      卷次： 2014年25卷18期

      【摘要】 目的 探讨支气管黏液嵌塞的CT表现及其诊断价值。方法 回顾性分析经临床及支气管镜确诊
的18例支气管黏液嵌塞的CT表现。结果 CT显示支气管黏液嵌塞呈指套状11例(61.1%)、短管状3例(16.7%)、
葡萄状4例(22.2%)。MPR显示指套状11例，10例增强扫描黏液栓均无强化，7例病灶周边见肺动脉及其分支伴
行。结论 “指套征”为支气管黏液嵌塞的较特征性CT表现，正确认识其特点，有利于提高诊断的准确率。

      【关键词】 支气管黏液嵌塞；体层摄影术；诊断

      【中图分类号】 R562.2 【文献标识码】 A 【文章编号】 1003—6350（2014）18—2700—03


CT diagnosis of bronchial mucoid impaction.
SHAO Yan-bo, XU Hua-qiang, ZHU Li-li, CHEN Fang-qi, YUAN
Xin-ping. Department of Medical Imaging, the 454th Hospital of PLA, Nanjing 210002, Jiangsu, CHINA

【Abstract】 Objective To explore the imaging features and diagnostic significance of CT in bronchial mu-
coid impaction. Methods CT data of 18 cases with bronchial mucoid impaction diagnosed by clinic and broncho-
scope were retrospectively analyzed. Results CT showed finger-in-glove sign in 11 cases (61.1%), short tubular in 3
cases (16.7%), and grape-like sign in 4 cases (22.2%). The finger-in-glove sign in 11 cases was also observed in MPR
images. Bronchial mucoid impaction showed no enhancement in 10 cases. 7 cases were accompanied with pulmonary
arteries and its branches around. Conclusion The finger-in-glove sign is the character of bronchial mucoid impac-
tion in CT findings. To correctly understand its characteristics can improve the accuracy of diagnosis.

      【Key words】 Bronchial mocoid impaction; CT; Diagnosis
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