摘要
肺结核病仍然是当今危害人类健康的重大传染病,尤其在新型冠状病毒肺炎流行的背景下,保持和加强结核病服务是实现全民健康覆盖和恢复卫生系统总体进程的重要组成部分,并能确保应对结核病和新型冠状病毒肺炎的协同防控作用。肺结核影像诊断标准的制订和发布,对肺结核的精准分型、影像学诊断与鉴别诊断、疗效评价等具有极其重要的意义,同时也是对国家肺结核诊断标准的完善和有效补充。肺结核影像诊断标准基于循证医学指南及标准制定的方法学,推荐了肺结核影像检查成像方法,包括胸部X线(证据级别Ⅲ,推荐强度:强)和CT成像(证据级别Ⅲ,推荐强度:强);提出病史、临床表现、实验室检查和组织病理学检查为肺结核诊断依据。依据国家肺结核诊断标准和肺结核分类,肺结核影像诊断标准推荐肺结核影像分型为原发性肺结核、血行播散性肺结核、继发性肺结核、气管支气管结核及结核性胸膜炎等5种类型,并重点对5型肺结核的主要影像表现展开了系统阐述,为临床影像学精准诊断及指导治疗提供了依据。
Tuberculosis is still a major infectious disease that endangers human health today,,especially in the context of the COVID-19 epidemic,maintaining and strengthening of TB services is an important part of the overall process of achieving universal health coverage and restoring health systems,and can ensures the collaborative prevention and control of TB and COVID-19.The establishment and publication of the diagnostic criteria of pulmonary tuberculosis is of great significance to the accurate classification,imaging diagnosis,differential diagnosis and therapeutic evaluation of pulmonary tuberculosis,at the same time,it is a perfect and effective supplement to the national diagnostic criteria of pulmonary tuberculosis.Diagnostic criteria for imaging of pulmonary tuberculosis are based on evidence-based medicine guidelines and standardsetting methodologies,the recommended imaging methods for pulmonary tuberculosis include X-ray chest film(evidence levelⅢ,recommended intensity:strong)and CT(evidence levelⅢ,recommended intensity:strong).It is suggested that the history,clinical manifestation,laboratory examination and histopathological examination are the basis for the diagnosis of pulmonary tuberculosis.According to the national tuberculosis diagnostic criteria and the classification of pulmonary tuberculosis,the imaging classification of pulmonary tuberculosis is recommended as follows:primary pulmonary tuberculosis,hematogenous pulmonary tuberculosis,secondary pulmonary tuberculosis,tracheobronchial tuberculosis and tuberculous pleurisy,the main imaging manifestation of pulmonary tuberculosis were systematically described,which is helpful for clinical diagnosis and provides a basis for accurate diagnosis and treatment.
作者
方伟军
何玉麟
许传军
卢亦波
吕圣秀
王小义
陈步东
杨豫新
李宏军
陆普选
Fang Weijun;He Yulin;Xu Chuanjun;Lu Yibo;Lyu Shengxiu;Wang Xiaoyi;Chen Budong;Yang Yuxin;Li Hongjun;Lu Puxuan(Department of Radiology,Guangzhou Chest Hospital,Guangzhou 510095,China;Department of Radiology,the First Affiliated Hospital of Nanchang University,Nanchang 334406,China;Department of Radiology,Nanjing Hospital Affiliated to Nanjing University of Traditional Chinese Medicine,Nanjing 210003,China;Department of Radiology,Nanning Fourth People's Hospital,Nanning 530023,China;Department of Radiology,Chongqing Public Health Medical Center,Chongqing 400036,China;Department of Radiology,the Fourth People's Hospital of Qinghai Province,Xining 810009,China;Department of Radiology,Beijing Ditan Hospital,Capital Medical University,Beijing 100015,China;Department of Radiology,Xinjiang Uygur Autonomous Region Sixth People's Hospital,Urumqi,China;Department of Radiology,Beijing You'an Hospital,Capital Medical University,Beijing 100069,China;Department of Radiology,Shenzhen Center for Chronic Disease Control,Guangdong Shenzhen 518020,China)
出处
《新发传染病电子杂志》
2021年第1期73-78,共6页
Electronic Journal of Emerging Infectious Diseases
基金
国家自然科学基金重点项目(61936013)
国家科技重大专项(2020ZX10001013)
国家自然科学基金面上项目(81771806)
深圳市科技计划项目(JCYJ20190813153413160)
广州市高水平临床重点专科和培育专科建设项目(穗卫函[2019]155号)
深圳市卫生三名工程项目(SZSM20161030)。
关键词
肺结核
影像诊断
诊断标准
解读
Pulmonary tuberculosis
Imaging diagnosis
Diagnostic criteria
Interpretation
