结核性脓胸并发症的影像学诊断  

The image diagnosis of complications of tuberculous empyema

作　　者：杨立生 刘维民 党润民 马永金 

机构地区：第四军医大学吉林军医学院附属医院放射线科，吉林吉林132013

出　　处：《第四军医大学吉林军医学院学报（86813X）》2002年第3期157-158,共2页Journal of Jilin Military Medical College Fourth Military Medical University

摘　　要：目的探讨结核性脓胸并发症的影像学表现。方法从67例结核性脓胸病例中筛选出8例有并发症的病例作为研究对象，分析并发症的胸片和CT表现。结果5例并发支气管胸膜瘘(BPF)患者有4例胸片上可见气液平，CT检查5例均可见气液平和肺结核病灶；自溃性脓胸主要依靠CT检查可见胸肌内形成“冷脓肿”；胸膜恶性肿瘤增强CT检查可见有多发囊性肿块。结论结核性脓胸的并发症应用胸片诊断有很大局限性，CT是诊断并发症的有效方法。Objective To explore the image manifestations of complications of tuberculous empyema.Methods 8 cases with complications were selected from 67 cases with tuberculous empyema as study targets and manifestations in their chest films and CT of complications were analyzed.Results Chest films showed that gas liquid plane could be seen in 4 of the 5 cases with complication of BPF while gas liquid plane and tuberculosis focus could be seen in all 5 cases through CT.Empyema necessitatis mainly depended on CT...

关 键 词：并发症 结核性脓胸 影像学诊断 胸片 CT检查 胸膜 多发 胸肌 筛选 病例 

分 类 号：R521.7[医药卫生—内科学] R454.[医药卫生—临床医学]