目的探讨肺癌性淋巴管炎的X线征象。方法回顾性分析37例经支气管镜活检、胸膜活检或开胸肺活检证实的肺癌性淋巴管炎的X线和HRCT征象,寻求能提示癌性淋巴管炎的X线征象。结果37例肺癌性淋巴管炎的X线表现中,两肺多发的支气管血管束增粗37例,两肺广泛分布的不规则增厚的克氏A线28例,两肺广泛分布的网状、网结节状阴影(不规则增厚的克氏C线)19例,两肺多发的不规则增厚的克氏B线15例,肺门淋巴结增大18例,胸膜不规则增厚16例,胸腔积液9例。结论肺癌性淋巴管炎的影像诊断以HRCT为最佳,但优质的胸部X线平片可以提供一些有益征象。 Objective To investigate the X-ray findings of lymphangitic lymphangitis. Methods The X-ray and HRCT signs of lung cancer lymphangitis confirmed by bronchoscopy, pleural biopsy or open lung biopsy were retrospectively analyzed in order to find out the X-ray signs of lymphangitis. Results In 37 cases of lung cancer with lymphangitis, there were 37 cases of multiple bronchovascular bundles in both lungs, 28 cases of irregularly thickened Kirschner wire in both lungs, and extensive distribution of reticular , Nodular shadows (irregularly thickened Kirschner wire C), 19 cases of irregularly thickened Kirschner wire in both lungs, 15 cases of hilar lymph node enlargement, 18 cases of irregular thickening of the pleura For example, pleural effusion in 9 cases. Conclusions Imaging diagnosis of lung cancer lymphangitis is best with HRCT, but good quality chest radiographs may provide some beneficial signs.