CT在肺结核诊断中的价值

中国防痨杂志 ›› 2003, Vol. 25 ›› Issue (6): 374-376.

CT在肺结核诊断中的价值

陈燕琴；杨均；陈效友；陈冀；马玙；郑素华；

北京结核病胸部肿瘤研究所北京 101149；

出版日期:2003-06-10 发布日期:2003-11-03

The diagnostic value of CT in pulmonary tuberculosis

CHEN Yan-qin,YANG Jun,CHEN Xiao-you,et al.

Beijing Tuberculosis and Thoracic Tumor Research Institute,Beijing 101149

Online:2003-06-10 Published:2003-11-03

摘要/Abstract

摘要： 目的　探讨CT对肺结核的诊断价值。方法回顾性对比分析98例具有完整临床资料的肺结核患者的胸部正侧位片、病灶断层及CT表现。结果 (1)肺内病变主要分布于上叶尖后段及下叶背段,其次为上叶前段和下叶各基底段。(2)胸部CT对肺内隐蔽部位结核病变的显示率明显高于胸片及病灶断层(P<0.05)。(3)胸部CT对病灶内钙化、纵隔内淋巴结肿大、纵隔内淋巴结钙化及肺气肿、肺大泡、限局性气胸的显示率明显高于另两项检查(P<0.05)。(4)对各种形态阴影的显示无明显差异(P>0.05)。结论胸部CT对肺结核具有较高的诊断价值。

关键词: 结核,肺/诊断, 体层摄影,X线计算机

Abstract: Objective To determine the diagnostic value of C T in pu lmonary tuberculosis.Methods An retrospective analysis were don e through comparing the clinical information,X-ray film and CT film of 98 patie nts with pulmonary tuberculosis.Results (1)Most of intrapulmonary lesions located in superior lobe apicoposterior segmen t and lower lobe dorsal segment, superior lobe anterior segment and lower lobe b asal segment.(2)The show rate of the lesions on chest CT films was significant h igher than that of X-ray films.(3)The show rates of focal calcification,inner- mediastinum lymph node enlargement,inner-mediastinum lymph node calcification, bullae of lung,pulmonary barotrama,pneumathorax in chest CT films were significa nt higher than that of X-films (P<0.05).(4)There was no significant differe nce on show rates for various shadows in CT films and X-ray films.Conclusion The value of chest CT for providing evidences for di agnosis of TB is very higher.

Key words: Tuberculosis,pulmonary/diagnosis, Tomography,X-ray computed

陈燕琴,杨均,陈效友,陈冀,马玙,郑素华,. CT在肺结核诊断中的价值[J]. 中国防痨杂志, 2003, 25(6): 374-376.

CHEN Yan-qin,YANG Jun,CHEN Xiao-you,et al.. The diagnostic value of CT in pulmonary tuberculosis[J]. Chinese Journal of Antituberculosis, 2003, 25(6): 374-376.