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中国防痨杂志 ›› 2004, Vol. 26 ›› Issue (5): 275-276.

• 论著 • 上一篇    下一篇

树芽征在CT影像诊断肺结核中的应用

路希伟;王月明;谌杰;   

  1. 辽宁省大连市结核病医院 大连 116001;
  • 出版日期:2004-05-10 发布日期:2004-11-03

The application of the photographic character of tree in bud at pulmonary tuberculosis

Lu Xiwei,Wang Yueming,Zhan Jie.   

  1. Dalian Tuberculosis Hospital,Dalian 116001
  • Online:2004-05-10 Published:2004-11-03

摘要: 目的 探讨肺结核“树芽征”的CT影像特点。方法 对216例肺结核行螺旋CT检查,对各种类型肺结核病“树芽征”的形态、部位进行统计分析。结果 涂阳肺结核和空洞性肺结核的树芽征出现率分别为84.5%和92.3%,结核球的树芽征出现率为18.2%。空洞性肺结核树芽征分布:跨叶分布的频率占66.7%,对侧累积率为52.6%。结论 树芽征是肺结核经气道播散的特征影像,在不同结核病理阶段可表现不同形态和分布。

关键词: 结核,肺/诊断, X线计算机,体层摄影术

Abstract: Objective To analyze the photographic character of tree in bud at pulmonary tuberculosis.Methods To check 216 pulmonary tuberculosis patients with spiral CT and statistic the formation and location of tree in bud at various tuberculosis.Results The rates of tree in bud sign at smear positive and cavity pulmonary tuberculosis were 84.5% and 92.3% respectively.The rate in tuberculoma was 9.1%. The occurrence frequency of tree in bud in cavity pulmonary tuberculosis which located in down lobe was 87.5%.The occurrence rate of opposite lung was 60.3%.Conclusion Tree in bud sign is the character photographic of pulmonary tuberculosis which spread through airway.It shows different formation and distribution during different period of tuberculosis development.

Key words: Pulmonary tuberculosis/diagnosis, Tography,X-ray Computed