CAJ | 학술논문

目的：了解不典型肺结核的临床症状及相关影像学变化，降低错误诊断率。方法回顾性分析56例不典型肺结核的临床数据。结果56例不典型肺结核临床症状中，胸部影像学显示结核病灶发病部位为不典型。其中上叶前段20例，中叶或舌叶30例，下叶基底段6例。结论不典型肺结核没有典型的结核病症相关表现，结核位置多元化。纤维支气管镜找到结核菌、痰菌阳性、结核抗体阳性、试验性抗结核诊治是根据。
목적：료해불전형폐결핵적림상증상급상관영상학변화，강저착오진단솔。방법회고성분석56례불전형폐결핵적림상수거。결과56례불전형폐결핵림상증상중，흉부영상학현시결핵병조발병부위위불전형。기중상협전단20례，중협혹설협30례，하협기저단6례。결론불전형폐결핵몰유전형적결핵병증상관표현，결핵위치다원화。섬유지기관경조도결핵균、담균양성、결핵항체양성、시험성항결핵진치시근거。
Objective To understand the clinical symptoms and related image changes of atypical pulmonary tuberculosis, and reduce the rate of error diagnosis. Methods The clinical data of 56 cases with atypical pulmonary tuberculosis were retrospectively analyzed. Results In clinical symptoms of 56 cases with atypical pulmonary tuberculosis, chest imaging showed that the tuberculosis locations were not typical, of all anterior segment of upper lobe in 20 cases, middle or lingular lobe in 30 cases, basal segment of lower lobe in 6 cases. Conclusion Atypical pulmonary tuberculosis has not correlated manifestation of typical tuberculosis, and the diversification of tuberculosis locations. Finding tuberculosis bacteria by fiberoptic bronchoscopy, positive sputum, positive tuberculosis antibody, experimental anti-tuberculosis diagnosis and treatment are the basis.