肺部CT诊断PPT课件.ppt

1,肺部CT诊断,.,2/85,肺部CT的检查价值,1发现肺部小病灶或隐蔽病变；2肺不张和肺实变者待排肿瘤病变；3胸水查因；4肺部弥漫性病变；5咯血；,.,3/85,肺部CT的检查价值,1发现肺部小病灶或隐蔽病变；2肺不张和肺实变者待排肿瘤病变；3胸水查因；4肺部弥漫性病变；5咯血；,.,4/85,肺部CT的检查价值,1发现肺部小病灶或隐蔽病变；2肺不张和肺实变者待排肿瘤病变；3胸水查因；4肺部弥漫性病变；5咯血；,.,5/85,肺部CT的检查价值,1发现肺部小病灶或隐蔽病变；2肺不张和肺实变者待排肿瘤病变；3胸水查因；4肺部弥漫性病变；5咯血；,.,6/85,肺部CT的检查价值,1发现肺部小病灶或隐蔽病变；2肺不张和肺实变者待排肿瘤病变；3胸水查因；4肺部弥漫性病变；5咯血；,.,7/85,肺部CT的检查价值,6肺气肿7肿瘤分期；8鉴别诊断；9CT引导定位穿刺；,.,8/85,肺部CT的检查价值,6肺气肿7肿瘤分期；8鉴别诊断；9CT引导定位穿刺；,.,9/85,肺部CT的检查价值,6肺气肿7肿瘤分期；8鉴别诊断；9CT引导定位穿刺；,.,10/85,肺部CT的检查价值,6肺气肿7肿瘤分期；8鉴别诊断；9CT引导定位穿刺；,.,11/85,正常胸部CT,正常肺的分叶、分段,.,12/85,.,13/85,.,14/85,.,15/85,.,16/85,.,17/85,2、正常纵隔CT解剖,.,18/85,.,19/85,.,20/85,.,21/85,.,22/85,.,23/85,.,24/85,.,25/85,.,26/85,气管旁淋巴结肿大,.,27/85,.,28/85,食管旁淋巴结肿大,.,29/85,肺部炎症1、斑片状模糊阴影,.,30/85,.,31/85,斑片状模糊阴影,.,32/85,球行病灶，模糊阴影,.,33/85,球行灶，边缘模糊,.,34/85,慢性病灶，边界清,.,35/85,.,36/85,炎性假瘤，边界光滑,.,37/85,2、空气支气管征,.,38/85,空气支气管征,.,39/85,结核,.,40/85,1、结核病灶渗出性改变,.,41/85,2、结核特点-多形性慢性病变特点,增殖纤维索条钙化灶渗出卫星灶,.,42/85,结核空洞，纤维索条,.,43/85,结核纤维索条，结核性支扩,.,44/85,结核空洞，卫星灶,.,45/85,结核空洞，厚壁,.,46/85,结核球，边界清,.,47/85,结核球，小钙化灶,.,48/85,肺癌,1、肿块，边界清，规则或不规则,.,49/85,鳞癌,.,50/85,1、分叶,.,51/85,2、毛刺征,短毛刺-仙人球,.,52/85,毛刺,.,53/85,3、不规则厚壁空洞，壁结节,.,54/85,厚壁空洞,.,55/85,厚壁空洞，增强不均匀强化,.,56/85,后壁空洞，壁结节,.,57/85,纵隔窗,.,58/85,肺癌，不规则厚壁空洞,.,59/85,4、不均匀强化肿块,.,60/85,边缘光滑肺癌,.,61/85,纵隔窗,.,62/85,增强扫描不均匀强化,.,63/85,肿块,.,64/85,强化不均匀,.,65/85,5、空泡征,.,66/85,空泡征,.,67/85,6、浸润性生长,.,68/85,肿块，支气管血管束侵润性生长,.,69/85,纵隔窗,.,70/85,支气管后壁生长,.,71/85,7、转移,淋巴道转移血行转移支气管播散,.,72/85,肺窗,.,73/85,下肺野,.,74/85,原发病灶,.,75/85,腺癌，周围转移灶，支气管播散,.,76/85,小肺癌，边缘模糊,.,77/85,隆突下淋巴结转移,.,78/85,广泛淋巴管转移,.,79/85,肺癌胸膜转移,.,80/85,肺泡癌多发