| 谈高,柳学国,李占军,洪国斌,张翠运.肺结核抗痨治疗前后高分辨率CT征象变化[J].中国医学影像技术,2003,19(1):57~59 |
| 肺结核抗痨治疗前后高分辨率CT征象变化 |
| Changes of High-Resolution CT Findings of Pulmonary Tuberculosis with Antituberculosis Therapy |
| 投稿时间：2002-06-08 |
| DOI： |
| 中文关键词: 肺结核 高分辨CT 抗痨治疗 |
| 英文关键词:Pulmonary tuberculosis High-resolution CT Antituberculous chemotherapy |
| 基金项目: |
|
| 摘要点击次数: 2518 |
| 全文下载次数: 940 |
| 中文摘要: |
| 目的 评价早期/活动性肺结核化疗前后高分辨率CT(HRCT)征象改变。方法 总结了80例肺结核病例影像检查资料。在治疗期间,对其(66例初诊和14例复发肺结核患者)行HRCT随访1至24个月。结果 随访的80例活动性肺结核HRCT征象中,最常见的小叶中心病变(直径2~4mm的结节或树枝状线形结构)多数(75%)在开始治疗6个月内消失。结论 小叶中心病变不仅是早期肺结核的最常见特征性HRCT征象,亦可是这种疾病活动的可靠标准,其存在与否同其他实验室检查相结合可用于监测抗结核疗效。 |
| 英文摘要: |
| Objective To evaluate the changes of high-resolution CT (HRCT) findings with early/active pulmonary tuberculosis before and after antituberculous chemotherapy. Methods Eighty patients pulmonary tuberculosis,including 66 cases newly diagnosed and 14 cases recurred,were followed up with HRCT during treatment for 1-24 months.The diagnosis of active pulmaonary tuberculosis was based on positive acid-fast bacilli in sputum (n=75) and changes on serial radiographs obtained during treatment (n=25). Results In the HRCT findings of 80 patients with follow-up,most (75%)of these commonly seen centrilobular lesions disappeared within 6 months from the start of treatment. Conclusion Centrilobular lesions not only appear to be the most commonly seen characteristic in HRCT findings of early tuberculosis,but also the reliable criterion for the disease in activity.And with it,the efficacy of antituberculous chemotherapy may be evaluated in conjunction with other laboratory test. |
| 查看全文 查看/发表评论 下载PDF阅读器 |
|
|
|
