摘要
目的：探讨尘肺合并结核的影像学表现及病理基础，提高尘肺合并结核的影像诊断水平。材料与方法：回顾性分析127例具有可靠粉尘接触史，经痰涂片、痰培养及临床诊断证实的尘肺结核病人的胸部X线片、CT影像表现。本组病例，男106例，女21例，年龄25～82岁。所有的病例均有一次以上胸部x线片检查，其中64人行CT检查。结果：尘肺结核可以区分为浸润型，团块结节型及血行播散型。浸润型尘肺结核72例，占56．7％，其中合并空洞28例，胸腔积液13例，胸膜增厚8例，肺不张2例；团块结节型尘肺结核42例，占33．1％，其中合并空洞26例，胸腔积液6例，胸膜增厚9例，肺不张5例；播散型尘肺结核13例，占10．2％，其中合并胸腔积液2例。结论：尘肺结核病人具有尘肺与结核病的共同特点，较单纯尘肺和结核病严重，动态观察x线胸片，在原尘肺病基础上，双上肺野浸润性病灶增多，或团块横向四周发展扩大，短期内病灶融合、空洞形成，可考虑合并结核，对菌阴尘肺结核病人的诊断具有重要意义。
Purpose： To explore the imaging appearance and basic pathology of pneumoconiosis combined with tuber- culosis, and to improve the diagnosis ability. Materials and Methods： The imaging findings of pneumoconiosis combined with tuberculosis in 127 cases was analyzed retrospectively, all patients were diagnosed definitely by sputum smear, sputum cultures and clinical data, 106 cases were males, 21 cases were females, with age from 25 to 82 years. More than a chest X- ray films inspection were performed on all cases, and 64cases of them CT examination. Results： Pneumoconiosis combined with tuberculosis can be divided into infiltrating type, mass micronodular type and spread type. Of 127 cases of pneumoconio- sis combined with tuberculosis, 72 cases were mass micronodular type, the combined rate was 56. 7% . Merger of cavity 28 cases, pleural effusion 13 cases, pleural thickening 8 cases, atelectasis 2 cases. 13 cases were spread type, the combined rate was 10. 2% . Merger of pleural effusion 2 cases. Conclusion： Pneumoconiosis combined with tuberculosis persons have the pneumoconiosis and the common characteristics of tuberculosis . Dynamic observation X-ray chest radiograph, infiltrates vene- real kitchen increased on double upper lung field, or mass horizontal to expand all round, the short term lesions fusion, empty formation in the original pneumoconiosis disease foundation. It could he considered merger tuberculosis. It is of great signifi- cance to germ feminine pneumoconiosis tuberculosis.
出处
《现代医用影像学》
2013年第4期272-275,共4页
Modern Medical Imageology
关键词
尘肺
结核
X线计算机
影像诊断
Pneumoconiosis
Tuberculosis
X-ray computed
Imaging diagnosis
