胸片结合CT诊断37例下肺结核的价值  

The diagnostic value of chest X combined with CT in the treatment of 37 patients with pulmonary tuberculosis located in lower-lobe

作　　者：王东[1] 王伯源[1] 白德波[1] 

机构地区：[1]东南大学医学院附属江阴医院放射科,江苏江阴214400

出　　处：《临床肺科杂志》2013年第1期105-106,共2页Journal of Clinical Pulmonary Medicine

摘　　要：目的探讨胸片结合CT诊断37例下肺结核的价值。方法分析37例下肺结核患者的临床资料,所有患者均行胸部和CT扫描检查,分析临床表现特点和影像学诊断价值。结果胸片诊断准确率70.27%(26例),其中14例密度不均的斑片状或小片状影,7例边缘模糊的大斑片致密影,5例空洞型,四周点片状、条索状影。CT扫描诊断准确率91.89%(34)例,精确显示空洞、卫星病灶、胸膜增厚、胸腔积液等。胸片结合CT诊断准确率97.30%(36例)。结论下肺结核胸片、CT扫描各有其影像学特点,两者结合可提高诊断准确率。Objective To investigate the diagnostic value of chest X combined with CT in the treatment of 37 patients with pulmonary tuberculosis located in lower-lobe. Methods The clinical data of 37 patients with pulmonary tuberculosis located in lower-lobe were retrospectively analyzed, and all patients were given chest X and CT scan. The clinical features and imaging diagnostic value were analyzed. Results The diagnostic accuracy rate of chest X for 37 cases was 70. 27% （26 cases）, which included 14 cases of uneven density of patchy or patchy shadows, 7 cases of blurred edges of large patches opacities, and 5 cases of cavitary shadows. The diagnostic accuracy of CT scan was 91.89% （34 cases） that could accurately display the cavitates, satellite lesions, pleural thickening, and pleural effusion. The diagnostic accuracy rate of chest X combined with CT was 97. 30% （36 cases）. Conclusion chest X combined with CT scan can increase the diagnostic accuracy of patients with pulmonary tuberculosis located in lower-lobe.

关 键 词：下肺结核 胸片 CT扫描 诊断价值 

分 类 号：R521[医药卫生—内科学]