气管-支气管结核的胸部X线与CT诊断  

Diagnosis of tracheobronchial tuberculosis with chest radiography and CT

作　　者：马锦秀[1] 毛家仁[1] 丁玉兰[1] 

机构地区：[1]江苏省镇江市第四人民医院,镇江市212001

出　　处：《实用医学影像杂志》2002年第4期251-252,共2页Journal of Practical Medical Imaging

摘　　要：目的了解气管-支气管结核的胸部X线与CT征象及其诊断价值。方法36例气管-支气管结核患者,其中临床证实16例,手术病理证实20例,均经胸部X线与CT检查。对全部患者的胸部X线与CT表现进行了回顾性分析。结果36例患者中,胸部X线显示肺段叶及全肺不张12例,两肺结核性病灶18例,其中有陈旧性结核灶,粟粒播散灶,浸润灶及肺门淋巴结肿大。病变支气管表现有完全性支气管阻塞10例,支气管腔内结节状突起5例;胸部CT扫描显示支气管管腔变窄伴管壁增厚25例,管腔表面凹凸不平5例,管腔内有结节状突起6例,纵隔淋巴结肿大及钙化15例。结论对气管-支气管结核的胸部X线与CT表现进行综合分析,大大有助于提高其诊断准确性。Objective To understand The chest radiographi c and CT findings of tracheobronchia l tuberculosis TBTB and to determine their value in the diagnosis.Methods thirty -six patients with TBTB in whi ch clinically proven 16cases,surgically and pathologically proven 20cases underwend chest rdio graphy and CT examinations.the imging data on the both of chest radiograp hy and CT scans in all patients were analyzed retrospecti vely.Results Among 36patients with TBTB,chest ra diography showed segmental atelectasis or complete obstructive atelectasis in 12,bila teral tuberculous lesions(old tuberculous foci,miliary -spre ad foci,invasive foci and lymphonod us en-largement of the hili pulmonis)in 18.The affected bronchi were presented with complete obstruction in 10and intraluminal nodular pro-cessus in 5;chest CT scans showed the narrowing of bronchial lumen and the thickness of bronchial wall in 25,co ncavo -convex intralu-minal face in 5,intraluminal nodula r processus in 6,and mediastinal lym phonodes enlargement and /or calcif ication in 15.Conclusion The comprehensive analysis of chest radiographic and CT findings has imp ortant significance for improving t he diagnostic accuracy of TBTB.[

关 键 词：气管-支气管结核 胸部X线 CT 诊断 

分 类 号：R816.4[医药卫生—放射医学]