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目的分析389肺结核的影像学特征,以提高其正确诊断率。方法总结2003-2007年我区管理的患者,回顾性分析389例确诊结核病例,所有患者均有完整的临床资料及X线胸片。结果肺结核病灶多位于上中肺野,病灶类型包括斑片浸润影、结节斑点影、空洞影、纤维索条影、网状影、钙化影、胸膜增厚粘连,有时伴纵隔和/或肺门淋巴结的肿大,胸腔积液,不同类型的病灶可混合存在。结论结核病合并症较多,仔细分析病灶的形态特征、周边改变及纵隔淋巴结改变,提高基层医师对结核影像学特征的认识,X线胸片可显著提高肺结核的正确诊断率。
Objective To analyze the imaging features of 389 pulmonary tuberculosis to improve its correct diagnosis rate. Methods A total of 389 patients with confirmed tuberculosis were retrospectively analyzed in our district from 2003 to 2007. All patients had complete clinical data and X-ray. Results Most of the pulmonary tuberculosis lesions were found in the upper middle lung field. The types of lesions included plaque infiltration, nodular speckle, voids, fibroinography, reticular shadow, calcification, pleural thickening, and sometimes mediastinal and / or pulmonary Portal lymph nodes enlargement, pleural effusion, different types of lesions can be mixed existence. Conclusions There are more tuberculosis complications. Careful analysis of the morphological features, peripheral changes and changes of mediastinal lymph nodes can improve the understanding of tuberculosis imaging features among primary physicians. X-ray can significantly improve the correct diagnosis rate of tuberculosis.