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

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。

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-my 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.