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目的通过研究支气管结核的螺旋CT增强扫描的影像学特征,探讨螺旋CT胸部增强扫描对支气管结核的诊断价值及临床应用效果。方法通过统计学中回顾性分析这种方法,选择2013年1月~2015年9月期间在我院确诊为支气管结核的患者37例,作为本次实验的研究对象,观察螺旋CT增强扫描后的影像学表现及肺内病变特点等方面的情况。结果通过对本院37例支气管结核患者(EBTB)的研究分析,在螺旋CT增强扫描后的影像学表现主要有:受累支气管管壁不同程度的增厚、管腔不同程度的狭窄、管腔完全闭塞、管壁不等长度的钙化,大多数有肺部实质的改变,主要有支气管周围病灶,肺叶、肺段不张及阻塞性肺气肿,肺实质播散灶,肺门处淋巴结不同程度的肿大等。结论对支气管结核而言,应用螺旋CT增强扫描在诊断及鉴别诊断方面有一定的辅助作用,在临床应用上值得推广。
Objective To investigate the diagnostic value of bronchial tuberculosis by spiral CT enhanced thoracoscopy and its clinical application by studying the imaging features of spiral CT enhanced bronchial tuberculosis. Methods By retrospective analysis of this method in statistics, 37 patients diagnosed as bronchial tuberculosis in our hospital from January 2013 to September 2015 were selected as the object of this study. After the spiral CT enhanced scanning Imaging findings and lung lesions and other aspects of the situation. Results Through the analysis of 37 patients with bronchial tuberculosis (EBTB) in our hospital, the imaging findings after enhanced CT scan mainly include varying degrees of thickening of the bronchial tube wall, varying degrees of stenosis and complete lumen Occlusion, the length of the calcification of the wall, most of the changes in the lungs, there are mainly bronchial lesions, lung lobes, atelectasis and obstructive pulmonary emphysema, disseminated pulmonary parenchyma, hilar lymph nodes at varying degrees Swelling and so on. Conclusion For bronchial tuberculosis, the application of spiral CT enhanced scan in the diagnosis and differential diagnosis has some auxiliary role, it is worth promoting in clinical application.