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41例不典型肺结核影像学特点分析

The atypical chest X-ray findings in 41 patients with pulmonary tuberculosis

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【作者】 刘敏晏忠贵沈锋

【Author】 LIU Min,YAN Zhong-gui,SHEN Feng.Department of Radiology,Guiyang Lung Section Hospital,Guiyang 550001,China

【机构】 贵州省贵阳市肺科医院放射科贵阳医学院附属医院呼吸科 贵州贵阳550001贵州贵阳550001

【摘要】 目的:探讨不典型肺结核的影像学表现特点,以期提高其正确诊断率。方法:回顾性分析41例不典型肺结核的影像学表现。结果:41例不典型肺结核中大片实变型肺结核7例,阻塞性肺炎型肺结核9例,成人纵隔淋巴结结核10例,血源性肺结核3例,块状型肺结核7例,结核性肺不张5例。结论:不典型肺结核影像学表现多种多样,放射科医师应提高对不典型肺结核影像学的认识,以提高其正确诊断率。

【Abstract】 Objective:The main purpose of the study is to investigate the radiological characteristics of atypical pulmonary tuberculosis,so as to improve the correct diagnosis of the disease.Methods:Atypical radiological changes of chest X-ray in 41 patients with pulmonary tuberculosis were analysed retrospectively.Results:Pulmonary consolidation occurred in 7 of 41 patients,while 9 patients had obstructive pneumonia-like tuberculosis.10 of 41 patients possessed tuberculosis in mediastinal lymphatic gland,and blood-originated tuberculosis appeared in another 3 patients.With 7 patients having massive tuberculosis in the lung tissues,the last 5 patients were afflected by pulmonary atelectasis resulted from tuberculosis.Conclusion:The chest X-ray of patients with atypical pulmonary tuberculosis may be miscellaneous,and the radiologist have to be boosted to have an intimate knowledge of these X-ray signs.

  • 【文献出处】 医学影像学杂志 ,Journal of Medical Imaging , 编辑部邮箱 ,2005年12期
  • 【分类号】R521
  • 【被引频次】5
  • 【下载频次】113
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