摘要
目的总结分析31例胸壁结核(不包括胸椎结核)的CT征象并探讨其CT分型,以提高对该病的认识和诊断能力。方法收集经手术或穿刺病理证实的31例胸壁结核患者的资料,回顾性总结分析CT影像特征。结果按照病变的CT表现分为4型,Ⅰ型:胸膜结核球,12例;Ⅱ型:肋骨或胸骨结核,7例;Ⅲ型:胸壁前部结核性脓肿,8例;Ⅳ型:全胸壁结核,4例。结论CT能清楚显示胸壁结核的累及范围和密度变化,有利于病变定性和鉴别诊断,并能够准确地提供分型。
Objective To analyze the CT findings of chest wall tuberculosis （thoracic vertebra was ruled out）and to explore its classification in order to improve the knowledge and diagnostic accuracy of this disease. Methods CT findings of 31 patients with surgically and histopathologically proved chest wall tuberculosis were analyzed retrospectively. Results According to CT findings of the tuberculous lesions, 31 cases could be divided into 4 types, i. e. 12 of type Ⅰ presented as pleural tuberculoid ball, 7 of type Ⅱ were rib or sternum tuberculosis, 8 of type Ⅲ were tuberculous abscess of anterior chest wall, and 4 of type Ⅳ were whole chest wall＇s tuberculosis. Conclusion CT scan can not only clearly show the invasive range and density change of the tuberculous lesions, those are helpful to diagnose and distiguish, also can accurately provide the classification.
出处
《实用医学影像杂志》
2006年第1期19-21,共3页
Journal of Practical Medical Imaging
关键词
胸壁
结核
体层摄影术
X线计算机
Chest wall
Tuberculosis
Classification
Tomography, X-ray computed
