论文部分内容阅读
目的探讨肺尘埃沉着病和肺结核X线影像学特征。方法拍摄高仟伏胸片的肺尘埃沉着病136例及肺结核48例(其中血行播散型肺结核22例,继发性肺结核伴空洞26例),对二者的X线图像进行分析。结果 136例肺尘埃沉着病高仟伏胸片上小结节大小均匀为54例(39.71%),密度均匀为15例(11.03%),分布均匀27例(19.85%),22例血行播散型肺结核小结节大小均匀的有16例(72.73%),密度均匀的有15例(68.18%),分布均匀15例(68.18%),二者在大小、密度、分布方面差异有统计学意义(P<0.05)。单纯肺尘埃沉着病空洞以厚壁空洞为主,结核空洞以薄壁空洞最常见,周围常伴有卫星灶,肺尘埃沉着病结核空洞直径相对较大。结论肺尘埃沉着病与肺结核高仟伏胸片表现有差异,分析二者差异有助于提高诊断准确性。
Objective To investigate the characteristics of pulmonary foci and pulmonary tuberculosis. Methods Thirty-six cases of pneumoconiosis and 48 cases of pulmonary tuberculosis (including 22 cases of hematogenous disseminated pulmonary tuberculosis and 26 cases of secondary pulmonary tuberculosis accompanied with hollow cavity) were photographed on high-kV chest radiographs to analyze the X-ray images. Results The average size of small nodules was 54 cases (39.71%) in the 136 cases of pneumoconiosis with high density, 15 cases (11.03%) with uniform density, 27 cases (19.85%) with uniform distribution, 22 cases There were 16 cases (72.73%) with uniform size of nodules, 15 cases (68.18%) with uniform density and 15 cases (68.18%) with uniform distribution. The differences in size, density and distribution were statistically significant P <0.05). Pure Pneumoconiosis Pneumothorax was mainly thick-walled and hollow with the thin-walled cavity being the most common type of pneumoconiosis. Satellite cavities were often associated with pneumoconiosis. The diameter of pneumoconiosis pneumoconiosis was relatively large. Conclusions Pneumoconiosis is different from the performance of high-kV chest radiographs in pulmonary tuberculosis. Analyzing the difference between them can be helpful to improve the diagnostic accuracy.