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肺结核不典型X线平片及CT表现误诊分析 | |
其他题名 | Analysis on misdiagosis of atypical CR, DR, and CT appearances of pulmonary tuberculosis |
农村立; 龙腾河 | |
ISSN | 0253-3626 |
出版年 | 2006 |
卷号 | 31期号:4页码:604-605 |
中文摘要 | 目的:对肺结核不典型的X线平片及CT影像特点进行分析以总结误诊原因.方法:30例肺结核均摄CR或DR胸部正侧位片及CT平扫,其中8例做增强扫描,全部经临床或病理确诊.结果:按CR、DR、CT表现分4型:1)结节/肿块型15例,边缘光滑者7例,毛糙者4例,浅分叶者5例;2)片状实变型8例,形态不规则,密度均匀,边缘模糊;3)肺不张型5例,表现为叶或段支气管狭窄或闭赛,肺体积缩小;4)中下肺大片实变影内有多个大气液平征型者2例,表现为2~3个液平征.结论:肺结核的发病出现新趋势,中老年结核增多.其影像表现多样,应根据各种征象进行综合分析,避免误诊. |
英文摘要 | Objective: To investigate the atypical CR,DR,anrl CT appearances of pulmonary tuberculosis and to analyse the causes of misrliagnosisMethods: CR or DR of Chest PA & LAT and CT of Chest Routine Scan were performed in 30 cases of pulmonary tuberculosis, CT Enhanced Scan performed in 8.All of the oases were confirmed by clinical results or pathologyMesults: The CR,DR,and CT findings were classified into 4 lypes: 1) nodule or mass type (ra=15):the edge was smooth (n=7)and ill-defined (zi=4)and lobular(n=5);2) patchy consolidation t.ype(rc=8): this appeared irregular with homogeneous density and ill-defined edge; 3)atelectasis type(n=5): this showed slenosis or occlusion of the lobar or segmental bronchus with the collapsed lung;4)solid changing type with gas & liquid sign of Mid & lower-lung (n=2):this expressed 2~3 gas & liquids sign inside.Conclusion: The episode of pulmonary tuberculosis presents a new tendency of the increasing incidence in the elderly.CR,DR,and CT findings are variable.Thus,a comprehensive analysis of all imaging features is necessary to avoid misdiagosis. |
中文关键词 | 结核,肺 ; CR、DR平片 ; 体层摄影术 ; X线计算机 ; 误诊 |
英文关键词 | Tuberculosis,Lung CR, DR Tomography X-ray computed Misdiagnosis |
语种 | 中文 |
国家 | 中国 |
收录类别 | CSCD |
WOS类目 | MEDICINE GENERAL INTERNAL |
WOS研究方向 | General & Internal Medicine |
CSCD记录号 | CSCD:2421108 |
资源类型 | 期刊论文 |
条目标识符 | http://119.78.100.177/qdio/handle/2XILL650/220562 |
作者单位 | 广西医科大学第四附属医院传染科, 南宁, 广西 545005, 中国 |
推荐引用方式 GB/T 7714 | 农村立,龙腾河. 肺结核不典型X线平片及CT表现误诊分析[J],2006,31(4):604-605. |
APA | 农村立,&龙腾河.(2006).肺结核不典型X线平片及CT表现误诊分析.,31(4),604-605. |
MLA | 农村立,et al."肺结核不典型X线平片及CT表现误诊分析".31.4(2006):604-605. |
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