CAJ | 학술논문

目的探究肺结核患者的不典型影像检查特征,提高对肺结核的不典型影像诊断及鉴别诊断水平.方法对2010年1月至2012年8月在门诊经痰查结核菌和临床抗结核治疗追踪证实的不典型肺结核患者30例的影像学表现进行回顾性分析.结果经抗结核临床治疗结果与症状对比分析,右下叶后基底段和右下叶前内基底段病变部位的正确率均为80.00％.影像学检查结果总正确率为80.00％；本组影像学检查结果与确诊结果具有正相关性,0＜r＜1.结论影像学检查肺结核的不典型病变、鉴别诊断病变动态变化方面具有重要作用,掌握肺结核患者的不典型影像学表现特征,并结合患者临床表现,可有效降低误诊,显著提高影像学对于不典型肺结核诊断的准确率.
목적 탐구폐결핵환자적불전형영상검사특정,제고대폐결핵적불전형영상진단급감별진단수평.방법 대2010년1월지2012년8월재문진경담사결핵균화림상항결핵치료추종증실적불전형폐결핵환자30례적영상학표현진행회고성분석.결과 경항결핵림상치료결과여증상대비분석,우하협후기저단화우하협전내기저단병변부위적정학솔균위80.00％.영상학검사결과총정학솔위80.00％；본조영상학검사결과여학진결과구유정상관성,0＜r＜1.결론 영상학검사폐결핵적불전형병변、감별진단병변동태변화방면구유중요작용,장악폐결핵환자적불전형영상학표현특정,병결합환자림상표현,가유효강저오진,현저제고영상학대우불전형폐결핵진단적준학솔.
Objective To explore the atypical imaging features of patients with pulmonary tuberculosis,in order to improve the diagnosis and differential diagnosis of pulmonary tuberculosis with atypical imaging.Methods The imaging findings of 30 cases with atypical pulmonary tuberculosis,confirmed by sputum tubercle bacillus check and antituberculous therapy tracking in our hospital from January 2010 to August 2012,were retrospectively analyzed.Results After comparative analysis of antituberculous treatment results and symptoms,the correct rate of right posterior basal segment of lower lobe and the right anterior basal segment of lower lobe lesion site was 80％.The total correct rate of imaging findings was 80％,the imaging findings and diagnosis results had positive correlation,0 ＜ r ＜ 1.Conclusion Radiographic examination of pulmonary tuberculosis with atypical lesion,the differential diagnosis of lesions in dynamic changes play an important role,master of pulmonary tuberculosis in patients with atypical imaging features,and in combination with the clinical manifestations,can effectively reduce the misdiagnosis,significantly improve the accuracy rate of imaging for atypical pulmonary tuberculosis diagnosis.