不同分型支气管结核患者多排螺旋MSCT影像学特征性表现分析  

Multi-slice Spiral MSCT Imaging Features of Patients with Different Types of Bronchial Tuberculosis

作　　者：石广灿[1] SHI Guang-can(Department of Tuberculosis,The First Affiliated Hospital of Xinxiang Medical University,Xinxiang 453000,Henan Province,China)

机构地区：[1]新乡医学院第一附属医院结核内科,河南新乡453000

出　　处：《中国CT和MRI杂志》2018年第4期51-54,共4页Chinese Journal of CT and MRI

摘　　要：目的探讨不同分型支气管结核患者多排螺旋MSCT影像学特征性。方法收集我院150例支气管结核患者影像学资料,分析不同支气管结核患者的MSCT影响学特征。结果 MSCT检测单侧病变、双侧病变、支气管病变数、病变气管等检出率与临床诊断无显著差异(P>0.05);MSCT诊断Ⅰ-Ⅵ型支气管结核患者的灵敏度依次为83.3%、94.7%、90.9%、95.7%、92.8%、100.0%,特异度依次为98.6%、97.3%、95.7%、95.2%、97.1%、98.6%,准确率依次为97.3%、96.7%、94.7%、95.3%、96.7%、98.7%;Ⅰ型MSCT表现为支气管管壁增厚、管腔狭窄,Ⅱ型表现为累及各层气管,可不伴闭塞征但出现肺炎、肺不张;Ⅲ型表现为管壁增厚并出现增生;Ⅳ型表现为支气管管腔明显狭窄,可伴有闭塞征;Ⅴ型表现为累及气管环,管腔狭窄,可不伴闭塞征;Ⅵ型表现为累及主支气管管腔,伴有结节并出现不同程度狭窄。结论不同分型的支气管患者,其MSCT表现不一,临床可考虑使用MSCT检查其疾病严重程度、病变范围及疾病分期。Objective To explore the multi-slice MSCT imaging features of patients with different types of bronchial tuberculosis.Methods The imaging data of 150 cases of patients with bronchial tuberculosis in our hospital were collected,and the MSCT imaging features of patients with different types of bronchial tuberculosis were analyzed.Results There was no significant difference in the detection rate of unilateral lesions,bilateral lesions,bronchial lesions and tracheal lesions by MSCT detection and by clinical diagnosis(P>0.05).The sensitivity of MSCT in diagnosing type I-VI bronchial tuberculosis patients was 83.3%,94.7%,90.9%,95.7%,92.8%and 100.0%,and the specificity was 98.6%,97.3%,95.7%,95.2%,97.1%and 98.6%,the accuracy rates were 97.3%,96.7%,94.7%,95.3%,96.7%,98.7%respectively.Type I MSCT showed there were bronchial wall thickening and luminal stenosis,and type II manifested there was involvement of various layers of the trachea,and might no occlusion signs but pneumonia and atelectasis.Type III showed there were wall thickening and hyperplasia.Type IV showed there were obvious stenosis in bronchial lumen and with occlusion signs.Type V showed there were tracheal ring involvement,luminal stenosis and might no occlusion signs.Type VI manifested as involvement of the main bronchial lumen,with nodules and varying degrees of stenosis.Conclusion The performance of MSCT is various in the different types of bronchial patients,and the MSCT may be considered to check the disease severity,the lesions extent and the disease staging.

关 键 词：支气管结核 分型 MSCT 影像学特征 

分 类 号：R521.2[医药卫生—内科学]