老年人气管支气管结核的CT诊断  

CT Diagnosis of Tracheobronchial Tuberculosis in the Elderly

作　　者：简继华[1] 

机构地区：[1]武汉科技大学附属天佑医院CT室,武汉430064

出　　处：《影像技术》2013年第5期29-31,35,共4页Image Technology

摘　　要：目的:探讨老年人气管支气管结合CT诊断。方法:对48例患者的临床资料进行分析探讨。结果:①经过手术和FOB证实共有102支气管、段以上支气管异常。单侧支气管病变共计35例,双侧支气管病变共计13例。②CT主要表现为规则狭窄、梗阻或支气管不规则,部分显示为管腔内结节以及管壁增厚。③间接征象为肺内多样性病症、阻塞性肺炎、肺气肿和肺不张以及肺门纵膈淋巴结肿大。结论:在临床诊断中,CT能够非常清晰地反应出老年人气管支气管结核病变特点,若与FOB以及患者临床表现结合起来,能够使准确性得到很大程度的提升。Objective： To investigate the elderly bronchial and CT diagnosis. Methods： The clinical data of 48 patients were analyzed. Results： After operation and FOB confirmed a total of 102 bronchial, abnormal segmental bronchus. Unilateral bronchial lesions in 35 cases, bilateral bronchial lesions in 13 cases. CT mainly for rules, obstruction or stenosis bronchial irregular, part of a display for intraluminal nodules and thickening of the wall. The indirect signs of lung disease, diversity of obstructive pneumonia, emphysema and pulmonary atelectasis and pulmonary hilar mediastinal lymph node enlargement. Conclusion： In clinical diagnosis, CT can clearly reflect the elderly endobronchial tuberculosis lesions, and if FOB as well as in patients with clinical manifestations in together, can make the accuracy greatly improve the level.

关 键 词：气管支气管结核 CT 诊断 

分 类 号：R521[医药卫生—内科学] R816.41[医药卫生—临床医学]