服刑人员129例肺结核平片分析

Radiological Analysis in 129 Prisoners with Pulmonary Tuberculosis Infection

目的 :探讨服刑人员肺结核影像特点及临床类型。材料与方法 :对普查发现的 12 9例肺结核病例拍摄后前位胸片 ,部分病例加拍侧位片 ,分析其影像形成的病理机制 ,病变特点和临床类型。结果 :原发性肺结核 10例 ,占 7 8% ;血行播散性肺结核 2例 ,占 1 5 % ;继发性肺结核 70例 ,占 5 4 3% ;结核性胸膜炎 4 7例 ,占 36 4 %。结论 :服刑人员肺结核以继发性多见 ,其次为结核性胸膜炎。病变呈多种病理性质 ,慢性化过程 ,形态多样 ,范围广 ,新老病灶同时存在 ,空洞率高 。

Purpose:The radiological characteristics and the clinical classification in the prisoners with pulmonary tuberculosis (TB) infection were explored.Materials and Methods:129 patients with pulmonary TB infection were diagnosed by the posterior-anterior position of chest radiological photographs in the census,part of the patients by additional lateral position of chest radiological photographs.The pathological mechanisms of the disease occurrence,features of pathological changes and clinical classification in the patients with pulmonary TB infection were analyzed and classified,based on their radiological photographs.Results:10 patients with the primary pulmonary TB infection (7.8%),2 patients with the blood-transmitted disseminated pulmonary TB infection (1.5%),70 patients with the secondary pulmonary TB infection (54.3%),and 47 patients with the tuberculous pleuritis infection (36.4%) were included in 129 patients.Conclusion:the most common type of TB disease in the patients was the secondary TB infection (54.3%),following the tuberculous pleuritis (36.4%).The pathological changes indicated multiform features of pathology,chronic development course,wide involvement,and coexistence of new and old focuses of the disease,as well as there was a high rate of tuberculous cavities,with many complications from the disease.