气管支气管结核的CT诊断  

CT Diagnosis of Tracheobronchial Tuberculosis

作　　者：刘长海 

机构地区：[1]黑龙江省绥化市明水县人民医院,151700

出　　处：《中国卫生标准管理》2015年第8期40-41,共2页China Health Standard Management

摘　　要：目的研究探讨气管支气管结核的CT表现,总结气管支气管结核的影像学特征。方法随机抽取我院2012年2月~2014年2月收治的气管支气管结核患者50例为研究对象。研究分析患者临床资料与CT表现特点。结果扫描结果发现,本次研究对象存在不同程度的管壁增厚和管腔狭窄等情况。同时患者管腔内壁表现为轻度波浪状或者是锯齿改变状。在患者淋巴结肿大部位,并未发现肿块。患者的病变区域较大,发生支气管病变的部位较多。在诊断的过程中肿大淋巴结环状钙化、肺内病灶局限性播散以及肿大淋巴结钙化对诊断具有重要的意义。结论气管支气管结核患者在诊断的过程中,实行CT检查能够为临床诊断提供有效的医学评估依据,在患者确诊后制定相应的治疗方案。CT检查有助于患者的治疗前后疗效的观察,CT检查能够提供较高的诊断率。ObjectiveTo study the CT manifestations of endotracheal and endobronchial tuberculosis,and summarize the characteristics of endotracheal and endobronchial tuberculosis imaging.MethodsRandomly selected in our hospital from 2012 February to 2014 February were 50 cases of endobronchial tuberculosis patients as the research object. Study on the analysis of the clinical data of patients with CT features.Results This study there are varying degrees of wall thickening and luminal stenosis etc. At the same time with the lumen wall showed mild wavy or zigzagchange shape. Nodes location in patients with lymph,did not find the masses. Patients with larger lesion area,bronchial lesion site more. In the process of diagnosis ofenlarged lymph nodes annular calcification,pulmonary lesions confined disseminatedand swollen lymph node calcification has important significance for the diagnosis.Conclusion Patients with bronchial tuberculosis in the diagnosis process, the implementation of CT examination can provide medical assessment and effective basis for the clinical diagnosis,to develop appropriate treatment programs in patients after diagnosis. CT examination is helpful to the observation of patients before and aftertherapy,CT examination can provide higher diagnostic rate.

关 键 词：气管支气管结核 CT诊断 临床分析 

分 类 号：R445[医药卫生—影像医学与核医学]