中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2014年
29期
115-116
,共2页
结核结节%肺内肿瘤结节%X线%CT
結覈結節%肺內腫瘤結節%X線%CT
결핵결절%폐내종류결절%X선%CT
Tuberculosis nodule%Pulmonary tumor nodules%X-ray%CT
目的：分析结核结节与肺内肿瘤结节的X线鉴别价值。方法：2013年2月-2014年2月收治结核结节与肺内肿瘤结节患者62例，经胸部正、侧位的X线、CT等影像学检查，并对患者的临床影像学资料进行回顾性分析。结果：62例肺内结节患者分别为37例结核结节与25例肺内肿瘤结节患者；结节大小0.6～3 cm，平均(1.86±0.27)cm；37例结核结节患者的病变部位中左肺上叶尖后段9例，右肺病变者26例，分别位于上叶尖段、上叶后段、下叶背段；25例肺内肿瘤结节患者病变部位中左肺8例，右肺17例；62例肺内结节患者临床影像学表现中均出现分叶状，边界毛糙；无分叶，边界锐利、光滑；形态不规则，边界模糊；结节钙化，边界锐利、清楚等4种临床征象。结论：结核结节与肺内肿瘤结节可通过X线检查予以初步鉴别，并联合CT检查提高临床诊断价值。
目的：分析結覈結節與肺內腫瘤結節的X線鑒彆價值。方法：2013年2月-2014年2月收治結覈結節與肺內腫瘤結節患者62例，經胸部正、側位的X線、CT等影像學檢查，併對患者的臨床影像學資料進行迴顧性分析。結果：62例肺內結節患者分彆為37例結覈結節與25例肺內腫瘤結節患者；結節大小0.6～3 cm，平均(1.86±0.27)cm；37例結覈結節患者的病變部位中左肺上葉尖後段9例，右肺病變者26例，分彆位于上葉尖段、上葉後段、下葉揹段；25例肺內腫瘤結節患者病變部位中左肺8例，右肺17例；62例肺內結節患者臨床影像學錶現中均齣現分葉狀，邊界毛糙；無分葉，邊界銳利、光滑；形態不規則，邊界模糊；結節鈣化，邊界銳利、清楚等4種臨床徵象。結論：結覈結節與肺內腫瘤結節可通過X線檢查予以初步鑒彆，併聯閤CT檢查提高臨床診斷價值。
목적：분석결핵결절여폐내종류결절적X선감별개치。방법：2013년2월-2014년2월수치결핵결절여폐내종류결절환자62례，경흉부정、측위적X선、CT등영상학검사，병대환자적림상영상학자료진행회고성분석。결과：62례폐내결절환자분별위37례결핵결절여25례폐내종류결절환자；결절대소0.6～3 cm，평균(1.86±0.27)cm；37례결핵결절환자적병변부위중좌폐상협첨후단9례，우폐병변자26례，분별위우상협첨단、상협후단、하협배단；25례폐내종류결절환자병변부위중좌폐8례，우폐17례；62례폐내결절환자림상영상학표현중균출현분협상，변계모조；무분협，변계예리、광활；형태불규칙，변계모호；결절개화，변계예리、청초등4충림상정상。결론：결핵결절여폐내종류결절가통과X선검사여이초보감별，병연합CT검사제고림상진단개치。
Objective:To explore the X-ray differential value of tuberculous nodules and lung tumor nodules.Methods:62 patients with tuberculous nodules and lung tumor nodules were selected from February 2013 to February 2014.They were given chest anteroposterior,lateral X ray,CT examination.Clinical and imaging data were retrospectively analyzed.Results:In 62 cases with pulmonary nodule,there were 37 cases of tuberculous nodules and 25 cases of lung cancer nodule;nodule size was 0.6 to 3 cm,and averaged was (1.86±0.27)cm.For the lesion of 37 cases of tuberculosis nodule patients,the posterior segment of tip of left lung was in 9 cases;26 cases were right pulmonary lesions,the positions were located on leaf apex,posterior segment of upper lobe,posterior segment of lower lobe.In 25 cases of pulmonary tumor nodules patients,the lesion was left lung in 8 cases,right lung in 17 cases;the site of lesion in the middle and the left lung was in 8 cases,and right lung was in 17 cases;in 62 cases of pulmonary nodules in patients with clinical and imaging manifestations,there were all lobulated,boundary coarse no leaves,sharp edge,smooth;irregular shape,fuzzy boundaries;nodular calcification,sharp,clear boundary of four clinical signs.Conclusion:Tuberculous nodules and lung tumor nodules can be identified by X-ray examination,and can improve the clinical diagnostic value of combined examination of CT.
