摘要
目的探讨矽肺合并肺结核患者HRCT的影像学特征。方法回顾性分析60例已确诊矽肺合并肺结核患者的临床资料及HRCT完整影像学资料。结果 HRCT能较清楚显示结核病灶,矽肺结节,纤维化块,网状阴影及其他的合并症。其中Ⅰ期矽肺13例,Ⅱ期矽肺25例,Ⅱ+期12例,Ⅲ期矽肺10例。结核病灶多位于双侧肺尖及下叶各基底段,以渗出性、增殖性病变为主,伴有纤维条索、干酪样钙化、空洞形成。结论 HRCT在矽肺合并肺结核显示病变清楚,检出率高,定位准确,有十分重要的的诊断价值,可作为传统X线检查最有效的补充检查手段。
Objective To investigate the HRCT imaging features of silicosis patients with tuberculous. Methods The clinical data and complete HRCT imaging data of 60 patients with confirmed silicosis complicated with pulmonary tuberculosis were analyzed retrospectively. Results Tuberculosis lesions,silicosis nodules,fibrosis blocks,reticular shadows and other complications can be clearly showed by HRCT.Among them,there were 13 cases of silicosis in stage Ⅰ,25 cases of silicosis in stage Ⅱ,12 cases in stage Ⅲ,10 cases of silicosis in stage m .Tuberculosis focuses were most common in bilateral apical and basal leaf segments,exudative,mainly proliferative lesions,with fibrous cords,caseous calcification,cavity formation. Conclusion HRCT can show obvious pathological changes in silicosis complicated with pulmonary tuberculosis clearly,has high detection rate and accurate location.h has a very important diagnostic value,and can be used as the most effective supplementary examination method for traditional X-ray examination.
出处
《中国医药科学》
2017年第21期170-173,共4页
China Medicine And Pharmacy
基金
广东省梅州市市级医研类科技局计划项目(2015B110)
关键词
矽肺
肺结核
HRCT
诊断价值
Silicosis
Tuberculosis （TB）
HRCT
Diagnosis Value
