成人继发性肺结核空洞类型与肺内其他病变的HRCT影像学特点研究

发布时间：2018-04-11 08:46

本文选题：肺结核 + 空洞　；参考：《中国现代医学杂志》2015年06期

【摘要】：目的探讨继发肺结核空洞及肺内其他病变的影像学特点,评价HRCT在空洞性肺结核诊疗过程中的应用价值。方法回顾性分析于我院确诊的肺结核患者110例,所有患者抗结核治疗过程中均动态行胸片及HRCT检查。结果 110例患者CT检查显示了156个空洞。其中厚壁空洞占57.1%(89/110);胸片显示40例51个空洞,其中厚壁空洞占55.0%(22/40),CT以及胸片两种检查方法在空洞检出率以及对空洞壁的分辨率上的差异有统计学意义(P0.05)。空洞外肺内其他病变主要包括小叶中心结节、增殖性病变、局限斑片影、支气管播散病变、干酪性肺炎、小叶斑片实变、小叶间隔增厚以及胸腔积液等,HRCT对厚薄壁结核空洞的空洞外周围病变的检出情况在小叶斑片实变、小叶间隔增厚以及胸腔积液方面差异无统计学意义(P0.05),而在小叶中心结节、增殖性病变、局限斑片影方面差异有统计学意义(P0.05)。结论 HRCT能有效的反应肺结核患者的疾病活动情况,为指导临床治疗及评估传染性提供有效的影像学依据。
[Abstract]:Objective to investigate the imaging features of secondary pulmonary tuberculosis cavity and other pulmonary lesions and to evaluate the value of HRCT in the diagnosis and treatment of pulmonary tuberculosis.Methods 110 cases of pulmonary tuberculosis diagnosed in our hospital were analyzed retrospectively. Chest radiography and HRCT were performed in all patients.Results the CT findings of 110 patients showed 156 cavities.The thickness wall cavity accounted for 57.1% / 110%, and the chest radiographs showed 51 cavities in 40 cases, of which the thick wall cavity accounted for 55.0% 22% 40% CT and the two methods of chest radiography showed significant difference in cavity detection rate and resolution of cavity wall (P 0.05).Other lesions in the extrapulmonary cavity mainly include lobular central nodules, proliferative lesions, localized speckles, bronchial disseminated lesions, caseous pneumonia, and macular consolidation.There was no significant difference between lobular septal thickening and pleural effusion HRCT in detecting pericavitary lesions of thick thin-walled tuberculous cavity, but there was no significant difference in lobular patch thickening, interlobular septal thickening and pleural effusion, but there was no significant difference in central lobule nodule.In proliferative lesions, there was a statistically significant difference in local speckle shadow (P 0.05).Conclusion HRCT can effectively reflect the disease activity of pulmonary tuberculosis patients and provide effective imaging evidence for clinical treatment and assessment of infectious diseases.
【作者单位】：衡水市哈励逊国际和平医院;
【分类号】：R521

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