放射线胸片对肺结核诊断389例分析

The Chest X-ray analysis of 389 patients with pulmonary tuberculosis

目的分析389肺结核的影像学特征,以提高其正确诊断率。方法总结2003-2007年我区管理的患者,回顾性分析389例确诊结核病例,所有患者均有完整的临床资料及X线胸片。结果肺结核病灶多位于上中肺野,病灶类型包括斑片浸润影、结节斑点影、空洞影、纤维索条影、网状影、钙化影、胸膜增厚粘连,有时伴纵隔和/或肺门淋巴结的肿大,胸腔积液,不同类型的病灶可混合存在。结论结核病合并症较多,仔细分析病灶的形态特征、周边改变及纵隔淋巴结改变,提高基层医师对结核影像学特征的认识,X线胸片可显著提高肺结核的正确诊断率。

Objective To investigate the radiological characteristics of pulmonary tuberculosis so as to improve the corrector diagnosis of the disease. Methods Review of clinical data and the chest X ray features in 389 patients with pulmonary tuberculosis. All patients had complete clinical information and radiological changes of chest X-ray. Results According to the chest X ray film findings,pulmonary tuberculosis was mostly locating in upper and middle lobes,its property included patching effusion shadows,creber tuberculum shadows, cavitates shadows,fibrin shadows,reticulation shadows,calcification shadows, Pleural membrane accumulation, the hilus and （or） mediastinum lymphadenectasis, pleural effusion, sometimes mixing property lesion. Conclusion To pay attention to observation and analyses of lesion shape,density,boundary, change around the lesion and mediastihum hilus of lung,the diagnostic accuracy of tuberculosis can be increased.