老年性肺结核的临床表现与影像分析  

Clinical manifestations and image analysis of senile pulmonary tuberculosis

作　　者：胡宗泉 黎尚诗 

机构地区：[1]云南省永胜县疾病预防控制中心放射科,674200 [2]云南省永胜县人民医院放射科

出　　处：《实用医学影像杂志》2015年第2期162-164,共3页Journal of Practical Medical Imaging

摘　　要：目的探讨老年性肺结核临床表现与影像特征。方法回顾性分析2008—2013年280例老年性肺结核好发部位、临床表现特点及影像学特征。结果 280例继发性肺结核合并慢性支气管炎肺气肿168例,单发或多发肺大泡78例;右肺结核98例,左肺结核114例,双上肺结核46例,中下肺发病22例;单纯斑片状磨玻璃样渗出影55例,渗出影、增殖性结节合并纤维化索状影113例,颗粒状播散灶32例,空洞29例,钙化18例,胸部CT显示树芽征33例。结论渗出性病灶、树芽征、厚壁空洞伴周围炎是活动性肺结核的征象,增殖性病灶是非活动性肺结核的征象,颗粒状结节是继发性肺结核支气管播散的特点,钙化是肺结核好转和稳定的影像表现。Objective Clinical manifestations and imaging features of senile pulmonary tuberculosis are dis-cussed. Methods From 2008 to 2013, 280 cases of senile pulmonary tuberculosis good location, clinical features and imaging characteristics were retrospectively analyzed. Results Two hundred and eighty cases with secondary pul-monary tuberculosis, 168 cases of chronic bronchitis, emphysema, single or multiple pulmonary bullae 78 cases; Right pulmonary tuberculosis in 98 cases, left 114 cases of tuberculosis, double the 46 cases of pulmonary tuberculosis, the middle and lower lung disease 22 cases; Simple patchy ground glass sample effusion shadows 55 cases, seepage, in-cremental nodal merger in 113 cases of fibrosis funicular shade, granular spread focal 32 cases, empty 29 cases, 18 cases calcification, tree-in-bud chest CT shows 33 cases. Conclusion Tree-in-bud exudative lesions, and thick wall around the hole with inflammation is a sign of active tuberculosis, hyperplastic lesions is a sign of active tuberculosis, granular nodules is secondary characteristics of endobronchial spread of tuberculosis, calcification is tuberculosis im-proved performance and stability of the image.

关 键 词：老年人 结核 肺 体层摄影术 X线 

分 类 号：R521[医药卫生—内科学]