论文部分内容阅读
目的:研究支气管内膜结核的CT表现,提升对支气管内膜结核的认识和诊断水平,减少漏、误诊。方法:分析我院经支气管镜检及病理学确诊支气管内膜结核56例的临床及CT资料。结果:所有56例支气管不同程度狭窄、变形,42例并发肺内病变,合并支气管播散灶23例,其中6例为双肺广泛播散,所属肺叶、段体积缩小26例,并发曲菌球2例。胸膜肥厚粘连19例,胸腔积液11例,肺门、纵隔淋巴结增大16例,增强后环形强化11例。结论:CT检查对支气管内膜结核有较高的诊断价值,特别是高分辨率CT能。
Objective: To study the CT findings of bronchial endometrial tuberculosis, enhance the level of awareness and diagnosis of endobronchial tuberculosis, and to reduce leakage and misdiagnosis. Methods: Clinical and CT data of 56 cases of endobronchial tuberculosis diagnosed by bronchoscopy and pathology in our hospital were analyzed. Results: All 56 bronchi were stenosed and deformed to varying degrees. Forty-two patients were complicated with intrapulmonary lesions. Bronchial disseminated lesions were found in 23 patients. Among them, 6 patients were extensively disseminated in both lungs. Their lung lobes and segments were contracted in 26 patients, 2 cases. Pleural thickening adhesions in 19 cases, 11 cases of pleural effusion, hilar, mediastinal lymph nodes increased in 16 cases, enhanced annular enhancement in 11 cases. Conclusion: CT examination of bronchial endometrial tuberculosis has a higher diagnostic value, especially high-resolution CT can.