继发性肺结核放射线诊断分析  

Radiological Diagnosis of Secondary Pulmonary Tuberculosis

作　　者：赵子勇 ZHAO Zi-yong(Haicheng Central Hospital,Liaoning Province,Liaoning Anshan 114200)

机构地区：[1]辽宁省海城市中心医院,辽宁鞍山114200

出　　处：《中国医疗器械信息》2022年第9期83-85,共3页China Medical Device Information

摘　　要：目的:对于继发性肺结核疾病采取放射线进行诊断的临床价值开展探讨。方法:选择2019年1月~2020年1月接诊的继发性肺结核患者50例作为观察对象,50例继发性肺结核患者全部接受X射线胸片检查,其中10例患者同时接受CT扫描检查,分析50例继发性肺结核患者放射线检查表现和诊断价值。结果:根据对50例继发性肺结核患者的诊断结果进行分析,表明继发性肺结核疾病的原发病灶普遍属于肺段和肺叶实变影像,并且呈现为不同形状模糊影像,其中包含类圆形、斑片状以及圆形等,部分病灶具有清晰边缘;50例继发性肺结核患者的X射线表现:结核性肺内浸润表现多种多样,常见部位为上叶尖后段和下叶背段,但是现在不典型情况出现增多,多种性质病变混合出现,渗出灶、钙化、增殖灶、纤维化、空洞以及结核球均有出现,结核球病变受到纤维组织包绕,空洞受到干酪物质填充引发,影像学表现显示边缘光滑,2~3cm居多,中心存在钙化或是小空洞,四周存在各类形态纤维增殖病灶。干酪性肺炎的影像学表现显示为肺段或是肺叶出现大片浸润,密度高于大叶性肺炎,内部表现为虫蚀状不存在空洞;CT表现:继发性肺结核主要表现为上叶尖后或是下叶背段,具有单发或是多发小叶实变或是腺泡结节状影,出现融合之后能够产生肺段或是肺叶实变。干酪性肺炎具有大叶性实变和小空洞,下肺野存在播散灶,下叶背段和上叶尖后主要为空洞病变,壁内以及外缘比较光滑,结核球直径在2~4cm,边界比较清晰。50例继发性肺结核患者中浸润性肺结核36例,占72.0%,纤维空洞肺改变6例,占12.0%,干酪性肺炎8例,占16.0%。结论:对于继发性肺结核疾病采取X射线检查能够及早发现并且诊断疾病,X射线检查的操作方法简单,能够显著提升早期检测精准性。Objective:To explore the clinical value of radiation in the diagnosis of secondary pulmonary tuberculosis.Methods:From January 2019 to January 2020,50 patients with secondary pulmonary tuberculosis were selected as the observation object.All 50 patients received chest X-ray examination,and 10 patients received CT scan at the same time.The radiological manifestations and diagnostic value of 50 patients with secondary pulmonary tuberculosis were analyzed.Results:According to the analysis of the diagnosis results of 50 patients with secondary pulmonary tuberculosis,the primary lesions of secondary pulmonary tuberculosis were generally the consolidated images of lung segments and lobes,and presented blurred images of different shapes,including quasi-round,patchy and round,and some lesions had clear edges.X-ray findings of 50 patients with secondary tuberculosis:Tuberculous pulmonary infiltration performance not varied,in the common parts of blade tip and the back after,but now is not the typical cases,multiple lesions appear mixed nature,seepage kitchen stove,calcification and proliferation,fibrosis,and empty and TB ball have appeared,tuberculosis lesions by fibrous tissue surrounding the ball,empty material filling caused by cheese,imaging findings showed smooth edges,mostly 2cm to 3cm,calcification or small cavities in the center,and various types of fibroproliferative lesions around.The imaging findings of caseous pneumonia showed large infiltration of lung segments or lobes,with higher density than lobar pneumonia,and the internal appearance was insect-eaten without cavities.CT findings:the primary manifestations of secondary pulmonary tuberculosis are posterior to the upper lobe tip or dorsal segment of the lower lobe,with single or multiple lobular consolidation or acinar nodular shadows.After fusion,pulmonary segment or lobe consolidation can be produced.Caseous pneumonia was characterized by large lobar consolidation and small cavities,with disseminating foci in the lower lung field,mainly cavitary lesions in

关 键 词：继发性肺结核 放射线诊断 应用价值 

分 类 号：R445.4[医药卫生—影像医学与核医学]