成人下肺叶结核胸部放射线167例分析  

Retrospective analysis of 167 patients with atypical pulmonary tuberculosis in lower field

作　　者：孙彦华[1] 周菲[2] 陈子姝 

机构地区：[1]吉林省吉林市丰满区结核病防治所呼吸科,吉林吉林132013 [2]吉林省吉林市中心医院影像科,吉林吉林132011

出　　处：《中国现代医学杂志》2009年第16期2488-2490,共3页China Journal of Modern Medicine

摘　　要：目的探讨成人下肺叶结核的临床表现、胸部放射线诊断及鉴别诊断。方法回顾性分析167例下肺叶结核患者的临床及影像资料。男104例,女63例,好发于青壮年,18～35岁者占84.5%。结果胸部放射线发现病灶位于下叶背段最多;病灶性质包括渗出性病灶(46.7%)、增殖病灶(17.9%)、混合性病灶(35.4%);主要形态有小叶肺炎型、浸润型、团块型、肺脓肿型和支气管播散型。结论胸部放射线检查对下肺叶结核诊断有较高价值,但仍有部分病例需要进一步CT或其他检查手段协助确诊。[ Objective ] To explore the clinical and the chest X ray features in patients with atypical pulmonary tuberculosis in lower field. [ Methods ] Review of clinical data and the chest X ray features in 167 patients with pulmonary tuberculosis in lower field. 104 cases were male, 63 eases were female, 84.5% of patients were in youth and middle age. [ Results ] According to the chest X-ray film findings, atypical pulmonary tuberculosis was mostly locating in dorsal segment of lower lobe, its propertys included effusion lesion （46.9%）, proliferation lesion （19.2%）, mixing property lesion （35%）; its patterns included lobular pneumonia type, infiltration type, noddle type, pulmonary abscess type and bronchial dissemination type. [ Conclusion ] The chest X-ray is a effective method in the diagnosis of atypical pulmonary tuberculosis in lower field, however other methods are still selected in some patients.

关 键 词：肺结核 胸部放射线 胸部CT检查 

分 类 号：R521[医药卫生—内科学]