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《Radiologic Practice》 2003-07
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Value of HRCT for the diagnosis of endotracheal and endobronchial tuberculosis

WANG Zi bin,YANG Ji sheng,YANG Chuan bin,et al.Department of Radiology,Shandong Chest Hospital,Jinan,Shandong 250013,P.R.China  
Objective:To investigate HRCT findings of tracheobronchial tuberculosis and clinical significance of HRCT.Methods:HRCT features of 32 cases with tracheobronchial tuberculosis were analysed.The changes of the bronchial wall and lumen as well as the pathological changes in the lungs were observed.Results:The detectability of the changes in the wall of tracheobronchial tree was 73.91%,which included 54.35% of slight thickening of the wall and 19.57% of obvious thickening.The detectibility of the changes in the lumen was 67.39%,which included 60.87% of the narrowing and 6.52% of obliteration.Meanwhile the enlarged lymph node in mediastinum was observed in 7 cases,mucus embolus in the tracheobronchial tree in 12,localized dilatation in 5,lobular emphysema in 18 and tuberculous foci in the lung in 39. Conclusion :HRCT may play an important role in detecting the pathological changes of trachea and bronchi,as well as localization of the lesion before the fiberoptic bronchoscopy and estimation of the prognosis of the patients.
【CateGory Index】: R816.4
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