肺结核X线诊断分类

The Researches on X-ray Classification of Pulmonnary Tuberculosis

目的:明确肺结核X线分类中两型合并的分类。方法:收集临床、肺结核细菌学和常规胸片确诊的肺结核500例,进行X线分类探讨。结果:x线分类,原发型107例,合并胸膜炎6例;血行播散刑70例,合并胸膜炎22例;继发刑306例,合并胸膜炎74例:结核性胸膜炎17例。I～III型肺结核合并胸膜炎102例,占总病例数的20.4%。结论:依据病因发病机理,中国结核病分类法,按原发刑肺结核合并结核性胸膜炎,血行播散俐肺结核合并结核性胸膜炎,继发型肺结核合并结核性胸膜炎,进行X线分型。

Objective：To make clear the classification two types of pulmonary tuberculosis on radiography. Methods： 500cases pulmonary tuberculosis comfirrned by clinical examination, tuberculosis bacteriology and ordinary chest films were presented in order to discuss the X--ray classifications. Results： The X-ray classifications were as follows： There were 1 07 cases of the primary TB with pleurisy in 6 cases, 70 cases of the blood diffusive TB with pleurisy in 22 cases 306 cases of the secondary TB with pleurisy in 74 cases and the tuberculostic pleurisy in 1 7 eases. There were total 102 cases of pulmonary tuberculosis of Ⅰ～Ⅲ types cpmbined with pleurisy in 1 48 cases（20. 4%）. Conclusion：According to the causes and mechanism of the diseases as well China TB Classification, in the X-ray diagnosis, there are three types of the plumonary tuberculosis combined with pleurisy, that are the primary TB, blood diffiusion TB and the scondary TB.