CT SCAN NGC
CT SCAN NGCBs Ung Chnh
What the mind does not know, the eye cannot see
1
CH NH CT SCAN NGCanh gia cac bat thng phat hien tren X quang qui
c
anh gia khoi choan cho phoi, giai oan u phoi
Phan biet cac benh ly (u/ xep phoi/viem; ap-xe phoi/ tu mu mang
phoi..)
Benh ly mo ke, phe quan (HRCT)
CT mach mau
Hng dan sinh thiet va ot u phoi
4
GII PHU HNH NH C th nh gi hnh nh gii phu v bt thng ca lng ngc
trn CT scan khng v c cn quang cc ca s khc nhau nh ca s trung tht
khng v c cn quang,ca s phi,ca s xng.5
Ca s trung tht:Xem tim v cc mch mu lnCc tn thng c m bt thng hoc
ng m vi m mm trung tht v phi: u,dch,hch trung tht, cng c th thy bt
thng xngCa s phi: Xem trn kh mng phi v trung tht,kn kh,x,cc tn thng
m kCa s xng: Thy r hn hnh nh hy xng,chi tit xng6
HNH NH GII PHU CT THNH NGC
HNH NH GII PHU CA S TRUNG THT14
December 1, 201525RN PHI
1-Dec-1526
27
HNH NH GII PHU CA S PHI28
Ngang mc cung ong mach chu
3321/216a
Mc Carina
336
26
1/2b
Mc ong mach phoi (T)
336
6
1/2
2
Mc ong mach phoi (P)
665454
665454
Mc nh (T)
1054891047/89
F
CC RNH LIN THY PHI35
39
1-Dec-1540
1-Dec-1541
Bn phi: Inferior accessory fissure. Bn tri: left major
fissure.
DY CHNG PHI rn phi mng phi tng qut ra lin tip vi mng phi thnh,ng
qut c hnh vt bng bn,cn quay xung si.Ni hai l mng phi st vo nhau to
dy chng phi.42
43
CU TRC KH O PHI44
45
-ng h hp di bt u di np thanh mn gm kh qun,ph qun gc hai bn.-Ph
qun gc phn chia thnh ph qun thy phn thy ph qun tiu phn thy ln (5 th
h) v nh (15 th h).Nhng ph qun ny t sn dn v khng cn sn khi n tiu ph
qun.-Tiu ph qun tn phn nhnh thnh tiu ph qun h hp th h 1 th h 2 th h
3 ng ph nang ti ph nang v ph quang.-Mt tiu thy phi bao gm tiu ph
qun tn v acinus (tiu ph qun h hp 3-8 th h,ti ph nang v ph
nang).-Acinus (chm ph nang) : l phn phi nm sau tiu ph qun tn v bao
gm tiu ph qun h hp , ng ph nang , ti ph nang. ng knh acinus t 6-10
mm.
46
47
-Tiu thy th cp l nhng cu trc hnh a din khng u, kch thc t 1-2,5
cm ng knh , c ng mch trung tm tiu thy , tiu ph qun v vch si lin kt
dy # 0,1 mm. Vch m lin kt ny to thnh ranh gii ca tiu thy th cp bao
quanh cc tnh mch v mch bch huyt . Tiu PQ h hp , ng ph nang v ph
nang nm trung tm tiu thy.-Mi tiu thy th cp cha 3-5 chm ph nang.-Nhu
m phi bao gm chm ph nang,tiu thy th cp v m k phi.
48
M K PHI49
M k l mng li cc si m lin kt nng phi.
CC DNG TN THNG PHI50
AIR TRAPPING( KH)
* KH BT THNG TON TH HAY MT PHN PHI TH TH RA DO TC KH O HAY BT
THNG V GIN N PH NANG
BRONCHIECTASIS(GIN PH QUN)
TNH TRNG GIN LN CC PQ KHNG HI PHC KHU TR HAY TON TH DO : NHIM
TRNG MN TC KH O DO U X CO KO BM SINH
BRONCHIOLECTASIS(GIN TIU PH QUN)
GIN LN CC TIU PQ DO BNH KH O HAY DO X,CC TIU PQ NY CHA NC V KH
BN TRONG.
SIGNETRING SIGN
30
DO PQ DY VCH V GIN RNG LN HN MCH MU I KM TO NN DU HNH NHN.,CHO
BIT C GIN PQ.KHC VI DY M K QUANH TIU PQ MCH MU,PQ THNH DY NHNG LNG
PQ KHNG RNG RA.
S KHC NHAU GIA DY M K QUANH PH HUYT QUN V GIN PH QUNA/ Ngi bnh
thng tiu ph qun u thnh mng thit din tng ng mch mu bn cnhB/ Trong
bnh m k,m k quanh mch mu v ph qun dy ra,thnh ph qun dy nhng lng ph
qun khng rng.C/ Trong gin ph qun,tiu ph qun to thnh dy,ln hn mch mu
k cn.
3.3
TRACTION BRONCHIECTASIS(Gin ph qun do co ko)
33
PH QUN GIN RNG,KHNG GIM KHU KNH KHI PHN NHNH
BULLAE(BNG KH)
MT VNG KH PH THNG B R,NG KNH VI CM,VCH 10MM,VCH
