论文部分内容阅读
目的分析Kartagener综合征(KS)的临床和CT表现特点。方法回顾性分析7例经临床和影像证实的KS综合征的临床和CT资料,探讨KS的共同临床和CT特征。结果 7例KS均为全内脏反位,均以不同程度咳嗽、咳痰症状为主,其他伴随症状包括咯血、哮喘、气胸、气促、发绀、杵状指、脓涕、头痛等。CT像上7例均出现不同程度支气管扩张,6例出现“水滴”样、“棒状”征象(两下肺为主),其他伴随病变包括:支气管炎、肺部感染、肺气肿、胸腔积液、胸膜增厚、副鼻窦炎、气胸等,年长者伴随的病变较年轻者多。结论 KS有典型的临床和影像特征,不同程度的反复上呼吸道感染症状是其共同的临床特征,“水滴”样、“棒状”支气管扩张是其特征性的CT影像表现。
Objective To analyze the clinical and CT features of Kartagener’s syndrome (KS). Methods The clinical and CT data of 7 cases of KS syndrome confirmed by clinical and imaging were retrospectively analyzed to discuss the common clinical features and CT features of KS. Results The 7 cases of KS were all visceral anti-bitter, with different degrees of cough and phlegm. The other symptoms were hemoptysis, asthma, pneumothorax, shortness of breath, cyanosis, clubbing, purulent nasal discharge, headache and so on. In all cases, bronchiectasis was observed in 7 cases, with 6 cases of “water droplet” and “sticky” signs (mainly of the two lower lungs). Other accompanying lesions included bronchitis, lung infection, lung gas Swollen, pleural effusion, pleural thickening, sinusitis, pneumothorax, etc., older patients with more lesions. Conclusion KS has typical clinical and imaging features. The symptoms of recurrent upper respiratory tract infection are common clinical features. The characteristic of CT image is “water droplet” and “stick” bronchiectasis.