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中国防痨杂志 ›› 2014, Vol. 36 ›› Issue (9): 783-787.doi: 10.3969/j.issn.1000-6621.2014.09.007

• 专家论坛 • 上一篇    下一篇

肺外结核影像学诊断的回顾与展望

吕岩 周新华   

  1. 101149  首都医科大学附属北京胸科医院影像科
  • 收稿日期:2014-08-02 出版日期:2014-09-10 发布日期:2014-11-28
  • 通信作者: 周新华 E-mail:jysct@126.com

Review and prospect of imaging diagnosis on extrapulmonary tuberculosis

Lv Yan, ZHOU Xin-hua   

  1. Department of Radiology, Beijing Chest Hospital, Capital Medical University, Beijing 101149, China
  • Received:2014-08-02 Online:2014-09-10 Published:2014-11-28
  • Contact: ZHOU Xin-hua E-mail:jysct@126.com

摘要: 肺外结核包括多系统、多脏器、多部位、多种类型的结核病变,诊断较肺结核相对困难,但及时、正确的诊断是患者得以正规及有效治疗的前提,影像学检查在病变发现、诊断、鉴别诊断和观察病变动态方面具有重要作用。常规影像学检查(超声、X线、CT、MRI及骨扫描)对肺外结核病变的诊断及治疗效果的观察具有肯定的价值,同时亦有局限性。随着影像学技术的迅猛发展,除了病变形态学研究外,分子影像和功能成像等技术已成为国内外的研究热点和发展趋势,在肺外结核尤其是中枢神经系统结核的诊断与鉴别诊断中具有重要意义。

关键词: 结核/放射摄影术, 体层摄影术, X线计算机, 磁共振成像, 回顾性研究

Abstract: Extrapulmonary tuberculosis includes multiple systems, organs, sites and various types of tuberculosis and its diagnosis is relatively difficult than pulmonary tuberculosis. Timely and accurate diagnosis is the prerequisite for patients to be treated regularly and effectively. Imaging examination plays an important role in the lesions finding, diagnosis, differential diagnosis and the dynamic observation of lesions. Conventional imaging examination including ultrasonic, X-ray, CT, MRI and bone scanning has positive value of extrapulmonary tuberculosis diagnosis and curative effect observation. However, it has also some limitations. With the rapid development of ima-ging technology, in addition to study of morphological lesions, the molecular and functional imaging technology has become the development tendency and the research hotspot in the world. It is very important for diagnosis and differential diagnosis of extrapulmonary tuberculosis, especially central nervous system tuberculosis.

Key words: Tuberculosis/radiography, Tomography, X-ray Computed, Magnetic resonance imaging, Retrospective studies