CAJ | 학술논문

目的探讨MSCT对小儿结核性胸膜炎的诊断价值。方法回顾性分析经病理和(或)实验室检查证实的36例小儿结核性胸膜炎患者的MSCT表现。结果36例结核性胸膜炎患者的CT表现主要分为四型：单纯渗出性胸膜炎24例，单纯性局限性胸膜炎4例，渗出及局限胸膜病变共存5例，慢性胸膜病变3例，合并肺结核5例。36例中胸腔积液左侧15例，右侧10例，双侧4例。积液量：大量游离积液者4例，中等量16例，少量5例，局限包裹性积液4例。结论 MSCT检查对小儿结核性胸膜炎的诊断及鉴别诊断具有重要价值，为临床疗效评价和转归判断提供可靠依据。
목적탐토MSCT대소인결핵성흉막염적진단개치。방법회고성분석경병리화(혹)실험실검사증실적36례소인결핵성흉막염환자적MSCT표현。결과36례결핵성흉막염환자적CT표현주요분위사형：단순삼출성흉막염24례，단순성국한성흉막염4례，삼출급국한흉막병변공존5례，만성흉막병변3례，합병폐결핵5례。36례중흉강적액좌측15례，우측10례，쌍측4례。적액량：대량유리적액자4례，중등량16례，소량5례，국한포과성적액4례。결론 MSCT검사대소인결핵성흉막염적진단급감별진단구유중요개치，위림상료효평개화전귀판단제공가고의거。
To explore the value of MSCT in diagnosis of pediatric patients with tuberculous pleurisy.Methods Retrospective analysis of MSCT manifestations in 36 cases of pediatric patients with tuberculous pleurisy confirmed by pathology and/or laboratory tests.Results CT manifestation of 36 patients with tuberculous pleurisy is mainly classified with four types:24 cases with pure exudative pleurisy,4 cases with simple limitations pleurisy,5 cases combined with exudation and limitation pleurisy,3 cases with chronic pleural lesion,5 cases combined with tuberculosis.15 patients have pleural ef usion on the left side in this 36 cases, 10 on the right side and 4 on both sides.The amount of effusion in this 36 cases wil be the list:4 cases with large amount,16 cases with medium and 5 cases with small amount.4 cases with parcel ef usion in this 36 patients.Conclusion MSCT scan has much more important value in diagnosis and dif erential diagnosis of pediatric patients with tuberculous pleurisy.It provides reliable evidence in evaluation of treatment effect and outcomes.