结核结节与肺内肿瘤结节的X线鉴别价值

X-ray differential value of tuberculous nodules and lung tumor nodules

目的:分析结核结节与肺内肿瘤结节的X线鉴别价值。方法:2013年2月-2014年2月收治结核结节与肺内肿瘤结节患者62例,经胸部正、侧位的X线、CT等影像学检查,并对患者的临床影像学资料进行回顾性分析。结果:62例肺内结节患者分别为37例结核结节与25例肺内肿瘤结节患者;结节大小0.6~3 cm,平均(1.86±0.27)cm;37例结核结节患者的病变部位中左肺上叶尖后段9例,右肺病变者26例,分别位于上叶尖段、上叶后段、下叶背段;25例肺内肿瘤结节患者病变部位中左肺8例,右肺17例;62例肺内结节患者临床影像学表现中均出现分叶状,边界毛糙;无分叶,边界锐利、光滑;形态不规则,边界模糊;结节钙化,边界锐利、清楚等4种临床征象。结论:结核结节与肺内肿瘤结节可通过X线检查予以初步鉴别,并联合CT检查提高临床诊断价值。

Objective:To explore the X-ray differential value of tuberculous nodules and lung tumor nodules.Methods:62 patients with tuberculous nodules and lung tumor nodules were selected from February 2013 to February 2014.They were given chest anteroposterior,lateral X ray,CT examination.Clinical and imaging data were retrospectively analyzed.Results:In 62 cases with pulmonary nodule,there were 37 cases of tuberculous nodules and 25 cases of lung cancer nodule;nodule size was 0.6 to 3 cm,and averaged was(1.86±0.27)cm.For the lesion of 37 cases of tuberculosis nodule patients,the posterior segment of tip of left lung was in 9 cases;26 cases were right pulmonary lesions,the positions were located on leaf apex,posterior segment of upper lobe,posterior segment of lower lobe.In 25 cases of pulmonary tumor nodules patients,the lesion was left lung in 8 cases,right lung in 17 cases;the site of lesion in the middle and the left lung was in 8 cases,and right lung was in 17 cases;in 62 cases of pulmonary nodules in patients with clinical and imaging manifestations,there were all lobulated,boundary coarse no leaves,sharp edge,smooth;irregular shape,fuzzy boundaries;nodular calcification,sharp,clear boundary of four clinical signs.Conclusion:Tuberculous nodules and lung tumor nodules can be identified by X-ray examination,and can improve the clinical diagnostic value of combined examination of CT.