【摘要】 目的 探讨胸部X线体检在孤立型细支气管肺泡癌(BAC)的早期诊断中的价值。方法 对17例BAC的6个月～2年的反复复查的平片和CT征象进行回顾性分析，17例均经组织学证实。结果 体检发现较小病灶呈孤立类结节状影5例，不规则斑片影12例，通过动态观察其微小变化做出诊断。结论 胸部体检X线和CT检查发现肺部任何形态的阴影不能明确诊断时，应做随访复查，动态观察其微细变化对BAC的早期诊断有重要价值，CT优于普通平片。

    关键词 CT X线 细支气管肺泡癌 体检

    The value of the chest radiology with regularity of diagnosis solitary

    bronchioalveolar carcinoma

    Li Xiaoqiu，Cheng Chun，Yang Youlin

    Department of Radiology，466Hospital PLA，Beijing100089.

    【Abstract】 Objective To evaluate the diagnosis in solitary bronchioalveolar carcinoma in chest early radioˉgraphic features with regular examination.Methods The radiographic features of patients during in the course of6months to2years were reviewed retrospectively.All patients were confirmed by pathology.Results 5small nodular and12irregular margins forming a satellitic or patchy pattern in pulmonary lesion were diagnosed by followed up.Conclusion It is very helpful to diagnos of early BAC that chest radiography regularity of the undifferentiatedpulˉmonary shadows in check up. ......