@article {Nunes750, author = {Nunes, Hilario and Uzunhan, Yurdagul and Gille, Thomas and Lamberto, Christine and Valeyre, Dominique and brilllet, Pierre-Yves}， title ={呼吸道和肺实质结节病的影像学表现及其与肺功能的相关性}，volume = {40}， number = {3}， pages ={750—765}，year = {2012}，影像在结节病的诊断和预后评估中发挥着突出的作用，而这些诊断和预后是非常不同的。188bet官网地址胸片分期有助于预测自发缓解的可能性，而IV期与较高的死亡率相关。然而，读数的重现性很差，而且x线摄影和肺功能的变化不一致，这可能对疾病监测和治疗反应有问题。胸部计算机断层扫描(CT)对疑难病例的诊断有重要贡献。双侧肺门淋巴结病伴淋巴周围小结节型是结节病的高特异性。CT对肺部并发症的调查很重要，包括曲菌瘤和肺动脉高压。CT可提高支气管镜检查的成功率，以获得阳性的支气管或经支气管活检。CT表现也可以区分活动性炎症和不可逆纤维化，偶尔影响治疗决定。纤维性结节病有三种CT表现，具有不同的功能特征:主要的支气管扭曲与梗阻相关; honeycombing is associated with restriction and lower diffusing capacity of the lung for carbon monoxide; whereas functional impairment is relatively minor with linear pattern. The clinical impact of correlations between CT severity scores and functional impairment is uncertain, except for its utility elucidating the mechanisms of airflow limitation, which include bronchial distortion, peribronchovascular thickening, air-trapping and bronchial compression by lymphadenopathy.}, issn = {0903-1936}, URL = {//www.qdcxjkg.com/content/40/3/750}, eprint = {//www.qdcxjkg.com/content/40/3/750.full.pdf}, journal = {European Respiratory Journal} }