CAJ | 학술논문

目的探讨老年性肺结核临床表现与影像特征。方法回顾性分析2008—2013年280例老年性肺结核好发部位、临床表现特点及影像学特征。结果280例继发性肺结核合并慢性支气管炎肺气肿168例，单发或多发肺大泡78例；右肺结核98例，左肺结核114例，双上肺结核46例，中下肺发病22例；单纯斑片状磨玻璃样渗出影55例，渗出影、增殖性结节合并纤维化索状影113例，颗粒状播散灶32例，空洞29例，钙化18例，胸部CT显示树芽征33例。结论渗出性病灶、树芽征、厚壁空洞伴周围炎是活动性肺结核的征象，增殖性病灶是非活动性肺结核的征象，颗粒状结节是继发性肺结核支气管播散的特点，钙化是肺结核好转和稳定的影像表现。
목적탐토노년성폐결핵림상표현여영상특정。방법회고성분석2008—2013년280례노년성폐결핵호발부위、림상표현특점급영상학특정。결과280례계발성폐결핵합병만성지기관염폐기종168례，단발혹다발폐대포78례；우폐결핵98례，좌폐결핵114례，쌍상폐결핵46례，중하폐발병22례；단순반편상마파리양삼출영55례，삼출영、증식성결절합병섬유화색상영113례，과립상파산조32례，공동29례，개화18례，흉부CT현시수아정33례。결론삼출성병조、수아정、후벽공동반주위염시활동성폐결핵적정상，증식성병조시비활동성폐결핵적정상，과립상결절시계발성폐결핵지기관파산적특점，개화시폐결핵호전화은정적영상표현。
Objective Clinical manifestations and imaging features of senile pulmonary tuberculosis are dis-cussed. Methods From 2008 to 2013, 280 cases of senile pulmonary tuberculosis good location, clinical features and imaging characteristics were retrospectively analyzed. Results Two hundred and eighty cases with secondary pul-monary tuberculosis, 168 cases of chronic bronchitis, emphysema, single or multiple pulmonary bullae 78 cases; Right pulmonary tuberculosis in 98 cases, left 114 cases of tuberculosis, double the 46 cases of pulmonary tuberculosis, the middle and lower lung disease 22 cases; Simple patchy ground glass sample effusion shadows 55 cases, seepage, in-cremental nodal merger in 113 cases of fibrosis funicular shade, granular spread focal 32 cases, empty 29 cases, 18 cases calcification, tree-in-bud chest CT shows 33 cases. Conclusion Tree-in-bud exudative lesions, and thick wall around the hole with inflammation is a sign of active tuberculosis, hyperplastic lesions is a sign of active tuberculosis, granular nodules is secondary characteristics of endobronchial spread of tuberculosis, calcification is tuberculosis im-proved performance and stability of the image.