摘要
目的探讨重症肺结核CT检查的价值。方法对35例重症肺结核患者行螺旋CT扫描,观察CT片上病灶分布及影像特征。结果重症肺结核除表现出一般肺结核多发、多形性特点外,还表现出病灶分布范围广,多叶、多段受累,多期病灶共存,肺实质、胸膜、气道、纵隔淋巴结广泛受损,毁损肺、肺大泡、肺气肿、胸膜肥厚、支气管扩张或狭窄等并发症发生率高的特点。结论CT检查有助于更全面反映病灶分布及影像特征,对病灶性质的判定及鉴别诊断有一定价值。
Objective To explore CT scanning value of serious pulmonary tuberculosis. Methods Spiral CT scan was applied to 35 cases with severe pulmonary tuberculosis so that to observe the focus of infection distribution and characteristics of imaging on CT films. Results Besides showing frequent and polymorphie features, the severe pulmonary tuberculosis also displayed the features including wide distribution range for focus of infection, involving with multi-lobes of the lungs and segment, coexisting focus of infection for different phases, lung parenchyma, pleura, airway and mediastinal lymph node damaging extensively, and complications such as impairing lung, pneumatocele, emphysema, pachynsis pleurae, bronchiectasis or stenosis having high incidence rate. Conclusion CT scanning is helpful in reflecting the overall focus characteristics of imaging and distribution. It is of certain value in the assessment of the nature of focus and in the differentiate diagnosis.
出处
《临床肺科杂志》
2007年第12期1302-1304,共3页
Journal of Clinical Pulmonary Medicine
关键词
结核
肺/放射摄影术
X线计算机
pulmonary tuberculosis/radiography
X-ray computed
