| 王安龙,袁杭.HRCT在涂阴活动性肺结核诊断中的应用价值[J].浙江中西医结合杂志,2014,24(11): |
| HRCT在涂阴活动性肺结核诊断中的应用价值 |
| The value of sputum smear negative active pulmonary tuberculosis by HRCT |
| 投稿时间：2014-05-15 修订日期：2014-07-15 |
| DOI： |
| 中文关键词: 痰涂片 肺结核 HRCT |
| 英文关键词:sputum smear tuberculosis HRCT |
| 基金项目:杭州市科技引导项目( 2013DY12 ) |
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| 中文摘要: |
| 目的：探讨HRCT在痰涂片阴性活动性肺结核诊断中的应用价值。方法：回顾性分析267例痰涂片阴性疑似活动性肺结核患者的HRCT资料，被证实涂阴活动性肺结核患者173例作为涂阴结核组，其他肺疾病患者94例作为对照组，随机选择100例痰涂片阳性肺结核患者组成涂阳结核组，对以上各组HRCT表现进行统计学分析。结果：结节（<10mm）、“树芽征”、肺实变、支气管损害、病灶分布（上叶尖段、后段，下叶背段）等征象与涂阴活动性肺结核有显著联系；结节、“树芽征”、肺实变等HRCT征象，在痰涂片阴性、阳性患者间差异无统计学意义。空洞、胸腔积液、纵膈淋巴结增大等HRCT征象，在涂阴活动性肺结核HRCT中较少出现，在痰涂片阴性、阳性患者间有显著性差异。结论：HRCT对诊断及鉴别涂阴活动性肺结核有重要意义。 |
| 英文摘要: |
| Objective:To investigate HRCT in sputum smear-negative active TB diagnosis value.Methods:A retrospective analysis of 267 cases of smear-negative patients with suspected active tuberculosis HRCT data; been confirmed smear-negative patients with 173 cases of active tuberculosis as the smear-negative tuberculosis group,the other lung disease 94 patients as a control group,Randomly selected 100 cases of sputum smear-positive pulmonary tuberculosis patients as smear-positive tuberculosis group,the HRCT performances were statistically analyzed.Results:nodules,"tree-in-bud appearance",pulmonary consolidation,bronchial damage,damage is mainly distributed (on the tip posterior segment, under the dorsal segment) have significant contact with smear-negative active tuberculosis.nodules,"tree-in-bud appearance",pulmonary consolidation have no statistical difference between the patients with sputum smear negative and positive significance.cavity, pleural effusion, mediastinal lymph nodes enlargement are less frequent in smear-negative active tuberculosis,there are significant differences between sputum smear negative and positive patients.Conclusion:HRCT in the diagnosis and differential smear-negative active tuberculosis has important significance. |
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