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目的:探讨不典型肺结核的发病及影像表现。方法:对我院2010至2015年诊断的肺结核128例病例的影像表现和临床表现进行综合分析。结果:在128例病例中,18岁以下8例;18-45岁74例;45岁以上46例,分别占6.3%、57.8%、35.9%。有或既往有临床表现者51例,占39.8%;无活动的陈旧性肺结核77例,占60.2%。结论:肺结核的发病以青壮年成人居首位,且临床表现不明显,影像表现以断发型肺结核为主。儿童发病率不高,过去常见的结核纤维空洞较少见。
Objective: To investigate the incidence of atypical pulmonary tuberculosis and imaging findings. Methods: The imaging findings and clinical manifestations of 128 cases of pulmonary tuberculosis diagnosed in our hospital from 2010 to 2015 were analyzed comprehensively. Results: In 128 cases, 8 cases were under 18 years old, 74 cases were 18-45 years old and 46 cases were over 45 years old, accounting for 6.3%, 57.8% and 35.9% respectively. 51 cases had or had clinical manifestations, accounting for 39.8%; 77 cases of inactive old tuberculosis, accounting for 60.2%. Conclusion: The incidence of tuberculosis ranks the first place among young and middle-aged adults, and the clinical manifestations are not obvious. The imaging manifestations mainly include broken tuberculosis. The incidence of children is not high, the past common in tuberculous fiber cavities less common.