右肺中叶结核的临床及影像学表现

目的探讨右肺中叶结核的影像及临床特点,提高对右肺中叶结核的诊断能力。方法回顾性分析80例右肺中叶结核患者的临床及影像表现。结果大片密度不均灶30(37.5%)例;斑片状、结节状灶50(62.5%)例;其中薄壁空洞(洞壁厚<3 mm)18例(22.5%);钙化35例(44%);支气管扩张50例(62.5%);局限性不张30例(37.5%)。结论右肺中叶结核属非好发部位及不典型表现的肺结核,诊断有一定难度,结合病史综合分析,可以发现有价值的诊断依据。

Image and Clinical Manifestations Characters of Pulmonary Tuberculosis in Right Middle Lung Lobes

Objective To explore characteristics of clinical and imaging manifestations about pulmonary tuberculosis in right middle lung lobes, to elevate the capability of diagnosing pulmonary tuberculosis in right middle lung lobes. Methods The retrospective analysis of clinical data and imaging manifestations of 80 patients with pulmonary tuberculosis. Results 6 cases of large patch 30（37.5%）;patch, nodule 50（62.5%）;complicated with cavity formation18 （22.5%）, thin wall of cavity（≤2 mm）10（12.5%）;complicated with calcium formation 35（44%）;complicated with bronchiectasis 50（62.5%）;complicated with atelectasis 30（37.5%）. Conclusion The pulmonary tuberculosis in right middle lung lobes is referred to rare site and atypical manifestation and therefore there is a certain dififcult in its diagnosis. However, a comprehensive analysis of imaging manifestations with clinical history will likely ifnd valuable evidence to diagnose this disease.