CAJ | 학술논문

目的：研究探讨不典型肺结核的DR和CT图像的临床诊断价值。方法选取2010年3月～2013年6月收集的63例不典型肺结核病例作为研究对象，回顾性分析患者的临床病历资料与影像学资料，观察对比患者的DR和CT的图像特征，分析其诊断价值。结果63例不典型肺结核的患者中，节段或者肺叶实变型的有23例，占患者总数的36.5%，结节或者肿块型的有15例，占患者总数的23.8%，空洞型9例，占患者总数的14.3%，支气管内结核5例，占患者总数的7.9%，淋巴肿大11例，占患者总数的17.5%。有24例患者首次诊断出现误诊情况，其中15例患者被误诊为肺癌，总误诊率为36.5%。结论不典型肺结核的DR与CT检查表现多样，各有其诊断价值，医生要根据患者的实际情况与其他资料综合进行考虑和判断。
목적：연구탐토불전형폐결핵적DR화CT도상적림상진단개치。방법선취2010년3월～2013년6월수집적63례불전형폐결핵병례작위연구대상，회고성분석환자적림상병력자료여영상학자료，관찰대비환자적DR화CT적도상특정，분석기진단개치。결과63례불전형폐결핵적환자중，절단혹자폐협실변형적유23례，점환자총수적36.5%，결절혹자종괴형적유15례，점환자총수적23.8%，공동형9례，점환자총수적14.3%，지기관내결핵5례，점환자총수적7.9%，림파종대11례，점환자총수적17.5%。유24례환자수차진단출현오진정황，기중15례환자피오진위폐암，총오진솔위36.5%。결론불전형폐결핵적DR여CT검사표현다양，각유기진단개치，의생요근거환자적실제정황여기타자료종합진행고필화판단。
Objective To study the DR and CT images of atypical tuberculosis clinical diagnostic value.Method From March 2010 to June 2013 in this paper, the author collected 63 cases of atypical pulmonary tuberculosis cases as the research object, clinical medical records and imaging data were retrospectively analyzed, contrast observed in patients with DR and CT image characteristics, analyzes its diagnostic value.Results 63 cases of atypical pulmonary tuberculosis patients, segment or lobe variant of 23 cases, accounting for 36.5% of the total number of patients, nodules or masses in 15 cases, accounting for 23.8% of the total number of patients, 9 cases of hole type, accounting for 14.3% of the total number of patients, 5 cases were endobronchial tuberculosis, 7.9% of patients, lymph node enlargement in 11 cases, accounting for 17.5% of the total number of patients. Of diagnosis for the ifrst time in 24 patients misdiagnosed cases, 15 cases of these patients were misdiagnosed as lung cancer, the overall misdiagnosis rate was 36.5%.Conclusion The atypical tuberculosis of DR and CT examination is diversiform, have their diagnostic value, the doctor should according to the actual situation of patients with other materials and considering comprehensive judgment.