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目的探讨螺旋CT扫描在支气管结核与中央型肺癌鉴别诊断中的价值。方法选取2013年2月—2014年2月于景德镇市第二人民医院就诊的27例支气管结核患者的临床影像资料,分析两组患者CT表现的差异。结果支气管结核多累及多支支气管,中央型肺癌多累及单支支气管。中央型肺癌患者多伴有纵隔、肺门旁淋巴结肿大(非钙化),在结核组伴有纵隔、淋巴结肿大较少。支气管管组胸膜增厚27例中有5例,肺癌组34例无一例出现胸膜增厚。结论支气管结核与中央型肺癌的鉴别诊断需要详细分析CT影像表现再结合病史、检查痰菌及纤维支气管镜检查来综合判断,以降低误诊率。
Objective To investigate the value of spiral CT in the differential diagnosis of bronchial tuberculosis and central lung cancer. Methods Clinical data of 27 patients with bronchial tuberculosis treated in the Second People’s Hospital of Jingdezhen from February 2013 to February 2014 were selected to analyze the difference of CT findings between the two groups. Results bronchiectasis involving multiple bronchi, bronchiectasis and multiple bronchial involvement. Patients with central lung cancer often accompanied by mediastinum, hilar lymph nodes (non-calcified), with mediastinal tuberculosis group, lymph node enlargement less. Bronchial tube pleural thickening in 27 cases, 5 cases, 34 cases of lung cancer group, no case of pleural thickening. Conclusions The differential diagnosis between bronchial tuberculosis and central lung cancer requires a detailed analysis of CT images combined with the history, check the sputum bacteria and bronchoscopy to judge, in order to reduce the rate of misdiagnosis.