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目的:探讨老年性肺结核患者X线影像诊断的临床表现。方法:对我院收治的92例老年性肺结核临床X线影像诊断资料进行回顾分析,分析X线影像诊断临床表现。结果:单肺病变79例(85.87%),双肺病变13例(14.13%);病变主要发生于上中肺野48例(52.17%)、中下肺野27例(29.35%)、下肺野单发17例(18.48%);病变分布于1个肺野35例(38.04%)、2个肺野48例(52.17%)、3个及以上肺野9例(9.78%);血型散播型2例(2.17%)、继发型肺结核共78例(84.78%),其中:侵润型71例(77.17%),纤维空洞型7例(7.61%)、结核性胸膜炎12例(13.04%);条索纤维状病灶52例(56.52%),斑片云絮状渗出21例(22.83%),钙化者19例(20.65%)。结论:在临床对老年性肺结核诊断时,采用X线影像诊断方便易行,是诊断的首选方法,但临床为提高诊断的准确性,避免漏诊误诊的发生,应当同时结合患者临床表现给予有效诊断。
Objective: To investigate the clinical manifestations of X-ray diagnosis of senile pulmonary tuberculosis. Methods: The clinical data of 92 cases of senile pulmonary tuberculosis diagnosed in our hospital were retrospectively analyzed, and the clinical manifestations of X-ray diagnosis were analyzed. Results: There were 79 cases (85.87%) of single lung lesions and 13 cases (14.13%) of lung lesions. The lesions mainly occurred in 48 cases (52.17%) of upper and middle lung field, 27 cases (29.35%) of middle and lower lung field, There were 17 cases (18.48%) in single field and 35 cases (38.04%) in one lung field, 48 cases (52.17%) in 2 lung fields and 9 cases (9.78%) in 3 or more lung fields. Among them, 71 (77.17%) were infiltrates, 7 (7.61%) were fibrous cavities and 12 (13.04%) were tuberculous pleurisy patients, There were 52 cases (56.52%) of fibrotic lesions, 21 cases (22.83%) of flocculent effusion and 19 cases (20.65%) of calcification. Conclusion: In the clinical diagnosis of senile pulmonary tuberculosis, the use of X-ray diagnostic imaging is the first choice for diagnosis. However, in order to improve the accuracy of diagnosis and avoid the misdiagnosis of missed diagnosis, it should be effectively combined with the clinical manifestations .