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中国防痨杂志 ›› 2018, Vol. 40 ›› Issue (9): 940-943.doi: 10.3969/j.issn.1000-6621.2018.09.006

• 论著 • 上一篇    下一篇

基于CT分型方法的儿童肺结核临床特征分析

王岩1,赵顺英2,于彤1,张宏1,刘志敏1,孙记航1,曾津津1,彭芸1,()   

  1. 1. 100045 首都医科大学附属北京儿童医院影像科 国家儿童医学中心
    2. 100045 首都医科大学附属北京儿童医院呼吸科 国家儿童医学中心
  • 收稿日期:2018-07-11 出版日期:2018-09-10 发布日期:2018-10-17
  • 通信作者: 彭芸 E-mail:ppengyun@hotmail.com

Analysis of clinical characteristics of pediatric pulmonary tuberculosis based on CT classification

Yan WANG1,Shun-ying ZHAO2,Tong YU1,Hong ZHANG1,Zhi-min LIU1,Ji-hang SUN1,Jin-jin ZENG1,Yun PENG1,()   

  1. 1. Department of Radiology, Beijing Children Hospital, Capital Medical University, National Centre for Children’s Health, Beijing 100045,China;
  • Received:2018-07-11 Online:2018-09-10 Published:2018-10-17
  • Contact: Yun PENG E-mail:ppengyun@hotmail.com

摘要:

目的 分析儿童肺结核CT特征的临床特点。方法 回顾性分析首都医科大学附属北京儿童医院2006年7月至2014年12月经临床诊断并确诊为肺结核的734例患儿的临床资料(包括年龄、性别、临床表现,疫苗接种史、接触史及实验室检查等),基于CT分型对其CT特征、临床特点进行分析。结果 734例患儿中159例(21.7%)为经病原学检测确诊;CT分型中原发性肺结核和气管、支气管结核最多见(365例,50.4%),并发2种及以上类型者次之(199例,27.3%);3岁以下婴幼儿以原发性肺结核和气管、支气管结核多见(189例,26.1%), 7~14岁青春期儿童以结核性胸膜炎多见(94例,13.0%);并发肺外结核患者以结核性脑膜炎(109例,34.5%)及肺外播散累及2个及以上器官或组织者(103例,32.6%)最多见。192例(26.2%)患儿并发其他疾病或患有基础疾病。结论 不同年龄阶段患儿的肺结核CT分型不同,且常并发肺外结核;儿童肺结核CT表现有其自身特点及年龄分布特点。

关键词: 结核, 肺, 儿童, 体层摄影扫描仪, X线计算机, 诊断显像, 分类法, 数据说明, 统计

Abstract:

Objective To study the clinical features of CT characteristics of pediatric pulmonary tuberculosis.Methods The clinical and imaging data (including age, sex, clinical manifestations, vaccination history, contact history and laboratory examination) of 734 children with pulmonary tuberculosis diagnosed in Beijing Children Hospital affiliated to Capital Medical University from July 2006 to December 2014 were retrospectively analyzed. The CT characteristics and clinical features were analyzed based on CT typing.Results Among the 734 children, 159 (21.7%) were diagnosed by pathogeny or biopsy. Primary pulmonary tuberculosis and tracheobronchial tuberculosis were the most common (365 cases, 50.4%), followed by two or more kinds of CT typing (199 cases, 27.3%). For infants and young children less than 3 years old, primary pulmonary tuberculosis and tracheobronchial tuberculosis (189 cases, 26.1%) were the most common, while tuberculous pleurisy (94 cases, 13.0%) was common in adolescent children aged 7-14 years. Tuberculous meningitis (109 cases, 34.5%) and extrapulmonary dissemination involving two or more sites (103 cases, 32.6%) were common among the cases with extrapulmonary tuberculosis. 192 (26.2%) cases were complicated with other diseases.Conclusion Pediatric pulmonary tuberculosis cases with different ages have different CT typing and are often complicated with extrapulmonary dissemination. The CT manifestations of pediatric pulmonary tuberculosis have their own characteristics and age distribution characteristics.

Key words: Tuberculosis, pulmonary, Child, Tomography scanners, X-ray computed, Diagnostic imaging, Classification, Data interpretation, statistical