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《China Journal of Modern Medicine》 2015-06
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HRCT manifestations of cavities of secondary pulmonary tuberculosis and lung lesions outside of cavities in adult patients

KANG Jie;Harrison International Peace Hospital;  
【Objective】To analyze the HRCT signs of the secondary pulmonary tuberculous cavities and lung lesions outside of the cavities in adult patients, and to evaluate the application of HRCT in the treatment of cavitary tuberculosis. 【Methods】Totally 110 cases with tuberculous cavities diagnosed by X-ray and HRCT were analyzed retrospectively. All the patients were examined with HRCT and chest radiograph in the process of anti-TB treatment.【Results】In this study, 40 cavities in 51 cases and 156 cavities in 110 cases were detected by X-ray and HRCT CT respectively. There was a significant difference in the detection rate of the two methods as well as in the resolution of the hollow cavity walls(P 0.05). There was no significant difference in the detection of lobular patch consolidation, septal thickening and pleural effusion of HRCT(P 0.05), while there was a significant difference in detection of centrilobular nodules, proliferative lesions, and patchy limitations(P 0.05).【Conclusions】HRCT type of the pulmonary tuberculous cavities and the other lung 1esions are valuable for diagnosis of active pulmonary tuberculosis, and also useful in evaluating the prognosis.
【CateGory Index】: R521
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