胸部CT对于肺结核的诊断价值

The diagnostic value of chest CT on tuberculosis

目的:探讨胸部CT对于肺结核诊断的价值。方法:本文收集近5年来经过治疗确诊的患者133例,同时具有确诊及复查的CT照片。结果:CT正确诊断121例,误诊12例,诊断正确率高达90.7%。结论:胸部CT诊断肺结核有很高价值,优势在于确定病变有无、病变范围形态、结核分型、肺部并发症、鉴别诊断及治疗效果观察。对于个别诊断不明确的病例要密切结合病史、实验性治疗、随访观察,争取做到早确诊、早治疗。

Objective:To evaluate the value of chest CT in the diagnosis of tuberculosis.Methods:133 cases of diagnosed patients after treatment nearly five years were collected in this paper,at the same time it had confirmed and reviewd CT films.Results:121cases of correct diagnosis,12 cases were misdiagnosed through CT examination,the diagnostic accuracy as high as 90.7%.Conclusion:Chest CT in the diagnosis of pulmonary tuberculosis has a high value,with the advantage of determine whether the lesion exist,lesion form,form of tuberculosis,pulmonary complications,differential diagnosis and therapeutic effect observation.For individual diagnosis ambiguous cases should be closely combined with medical history,the experimental treatment,follow-up and strive to achieve early diagnosis and early treatment.