胸膜结核球的诊断和治疗(附31例临床分析)  

Diagnosis and treatment of tuberculoma of pleura

作　　者：邓立宏[1] 田希忠[1] 张海清 马屿[1] 

机构地区：[1]北京市结核病胸部肿瘤研究所,101149

出　　处：《中国防痨杂志》2000年第2期69-71,共3页Chinese Journal of Antituberculosis

摘　　要：目的　探讨胸膜结核球临床及X线特点。方法　分析 1 970～ 1 998年收治的 3 1例胸膜结核球。结果　 1 1 9例既往有明确的渗出性胸腔积液史 ( 61 3 % ) ,经治疗胸水吸收 ,数月至数年后发现球形病灶。2 2 4例正侧位胸片有不同程度的胸膜增厚、钙化及肋膈角改变 ( 77 4 % )。 3 本组误诊为肺癌、胸膜间皮细胞瘤及错构瘤等占 4 5 2 % ( 1 4 / 3 1 )。结论　胸膜结核球结合完整的病史 ;依靠切线位片、CT及胸部透视即可诊断。经积极的抗结核治疗可避免手术。Objective To study the clinic and X-ray characteristics of tuberculoma of pleura.Methods Analyzed retospectively 31 cases of pleura tuberculoma treated during 1970～1998.Results 1.61.3% of the patients had an explictly exudative pleural effusion history,after treatment effusion absorption and months or years later,a spherical shadow appeared. 2.77.4% chest X-ray had a pleural thichening,cacification and costophrenic angle change.3.45.2% misgnosed as lung cancer,mesothelioma and hamartoma.Conclusion Dignosis of pleural tuberculoma need an integrated history,tangential position X-ray film、CT and fuoroscopy of chest and sufficient antituberculous treatment may avoid operation.

关 键 词：胸膜结构球 诊断 治疗 X线诊断 

分 类 号：R521.9[医药卫生—内科学]