CAJ | 학술논문

目的研究老年肺结核X线表现。方法选择2008年1月~2012年12月在我中心进行查体的28902名老年人中发现肺结核患者43例进行分析，随机选择44例中青年肺结核患者X线表现特点作为比较组进行分析。结果按照《肺结核新分类法（1998）》相关诊断标准，将肺结核主要分为Ⅰ型、Ⅱ型、Ⅲ型、Ⅳ型和Ⅴ型，两组患者肺结核类型分布研究缺乏统计学意义（P＞0.05），对分析人群肺结核病变范围及支气管播散状况研究分析表现，老年组与比较组均存在统计学意义（P＜0.05），两组患者在病变类型比例存在统计学意义（P＜0.05）。结论常规查体X线检查老年肺结核诊断较高，应加强老年人查体X线检查的重视程度。
목적연구노년폐결핵X선표현。방법선택2008년1월~2012년12월재아중심진행사체적28902명노년인중발현폐결핵환자43례진행분석，수궤선택44례중청년폐결핵환자X선표현특점작위비교조진행분석。결과안조《폐결핵신분류법（1998）》상관진단표준，장폐결핵주요분위Ⅰ형、Ⅱ형、Ⅲ형、Ⅳ형화Ⅴ형，량조환자폐결핵류형분포연구결핍통계학의의（P＞0.05），대분석인군폐결핵병변범위급지기관파산상황연구분석표현，노년조여비교조균존재통계학의의（P＜0.05），량조환자재병변류형비례존재통계학의의（P＜0.05）。결론상규사체X선검사노년폐결핵진단교고，응가강노년인사체X선검사적중시정도。
Objective To study the X-ray manifestations of elderly tuberculosis. Methods Of the 28 902 elderly people who received physical examination in our center from January 2008 to December 2012,43 elderly people found to have tuberculosis were analyzed. Forty-four middle-aged and young people with tuberculosis were selected as the comparable group. Results According to the diagnostic standards of New classification method of tuberculosis (1998),tuberculosis was mainly divided into type Ⅰ,type Ⅱ,type Ⅲ,type Ⅳ and type Ⅴ. The two groups lacked statistically significant difference in the type distribution of tuberculosis (P > 0.05). The elderly group and the comparable group had statistically significant differences in the extent of disease and the bronchial dissemination condition (P<0.05). The two groups had statistically significant difference in the proportion of disease type (P<0.05). Conclusion In routine physical examination,X-ray examination has a high diagnostic value for elderly tuberculosis and therefore more attention should be paid to the X-ray examination in elderly physical examination.