老年继发性肺结核的CT诊断与鉴别诊断

Spiral CT Diagnosis and Differential Diagnosis of Senile Secondary Pulmonary Tuberculosis

目的:提高老年继发性肺结核CT诊断准确率,减少误诊。方法:回顾性分析我院30例老年继发性肺结核患者的完整资料。结果:老年继发性肺结核的特点是其临床症状不典型、范围广泛;易形成空洞,误诊为其它疾患;出现结核球时,易误诊为肺癌。结论:CT可以提高老年继发性肺结核的确诊率,让患者得到及时的治疗,避免不必要的手术。

objective：To discuss the CT diagnosis and differential diagnosis of senile secondary pulmonary tuberculosis,reduce its misdiagnosis.Methods：30 senile patients with secondary pulmonary tuberculosis under piral CT examination were retrospectively analyzed.result：senile secondary pulmonary tuberculosis＇character is atypical clinical symptoms,the range is widespread,the tuberculosis of lung with caritation is often misdiagnosed other diseases,the tuberculization is ofen misdiagnosed pulmonary carcinoma.Conclusion：CT can improve senile secondary pulmonary tuberculosis＇diagnosis.Elderly patients with secondary pulmonary tuberculosis can be treated without delay,to avoid unnecessary operative.