| 沈进军1 张孝才1 罗虹1 康迅1 贺晓武1 李传明2△.高海拔地区肺结核影像表现65 例回顾分析[J].,2011,11(19):3678-3679 |
| 高海拔地区肺结核影像表现65 例回顾分析 |
| The Retrospective Analysis of 65 Cases of Pulmonary Tuberculosisin Tibet Highland |
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| DOI： |
| 中文关键词: 肺结核 影像表现 高原 |
| 英文关键词: Pulmonary tuberculosis Highland Medical imaging |
| 基金项目: |
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| 中文摘要: |
| 目的：探讨总结高海拔地区肺结核的影像特点，更好的指导临床早期诊断。方法：回顾分析65 例西藏高原肺结核的影像特
点，总结分析其征象及价值。结果：原发型肺结核3 例(5%)，影像表现边缘清楚、密度均匀的致密影，伴有淋巴结增大；侵润型结核
31 例(48%)，影像表现成分混杂的致密影，可见钙化及卫星灶；血行播散型结核27 例(42%)，影像表现两肺弥漫分布的结节影；纤
维空洞肺结核4 例(5 %)，影像表现空洞、纤维化、支气管播散三大特征。结论：高原地区肺结核以侵润型和血行播散型为主，有特
定的影像特点，可以用来进行诊断。 |
| 英文摘要: |
| Objective: To investigate the characteristics of medical imaging for the early diagnosis of pulmonary tuberculosis in
highland. Methods: We retrospectively analyzed the features of medical imaging of 65 cases with pulmonary tuberculosis in Tibetan
Plateau. Results: 3 cases (5%) were primary pulmonary tuberculo- sis. Pathological changes with clear margin and even density were
found. Intumescent lymph nodes was concurrence. 31cases (48%) were infiltrative pulmonary tuberculosis. The density of the pathological
changes is miscellaneous. Calcification and satellite could be found. 27cases (42%) were hematogenous disseminated pulmonary tuberculosis.
Pervasive nodule in the two lung could be found. 4cases (5%) were fiber and cavitary pulmonary tuberculosis. Fiber, cavity and dissemination
by bronchus were the characteristics in medical imaging. Conclusion: Invasion type and hematogenous disseminated type are
the dominating type of pulmonary tuberculosis in Tibetan Plateau, with specific imaging features,which can be used for diagnosis of pulmonary
tuberculosis. |
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