摘要
目的 探讨胸膜结核球临床及X线特点。方法 分析 1 970～ 1 998年收治的 3 1例胸膜结核球。结果 1 1 9例既往有明确的渗出性胸腔积液史 ( 61 3 % ) ,经治疗胸水吸收 ,数月至数年后发现球形病灶。2 2 4例正侧位胸片有不同程度的胸膜增厚、钙化及肋膈角改变 ( 77 4 % )。 3 本组误诊为肺癌、胸膜间皮细胞瘤及错构瘤等占 4 5 2 % ( 1 4 / 3 1 )。结论 胸膜结核球结合完整的病史 ;依靠切线位片、CT及胸部透视即可诊断。经积极的抗结核治疗可避免手术。
Objective To study the clinic and X-ray characteristics of tuberculoma of pleura.Methods Analyzed retospectively 31 cases of pleura tuberculoma treated during 1970～1998.Results 1.61.3% of the patients had an explictly exudative pleural effusion history,after treatment effusion absorption and months or years later,a spherical shadow appeared. 2.77.4% chest X-ray had a pleural thichening,cacification and costophrenic angle change.3.45.2% misgnosed as lung cancer,mesothelioma and hamartoma.Conclusion Dignosis of pleural tuberculoma need an integrated history,tangential position X-ray film、CT and fuoroscopy of chest and sufficient antituberculous treatment may avoid operation.
出处
《中国防痨杂志》
CAS
2000年第2期69-71,共3页
Chinese Journal of Antituberculosis
