论文部分内容阅读
目的:探讨老年患者肺部病变合并胸腔积液的CT诊断价值。方法:选择2012年12月~2014年2月之间我院收治的老年肺部病变合并胸腔积液患者80例,回顾性分析其CT资料。结果:41.25%的患者为双侧胸腔积液,58.75%为单侧胸腔积液,32例为包裹性胸腔积液;18.75%为肺部炎性病变,38.75%为肺结核,42.50%为恶性肿瘤。患者纵隔胸膜、胸膜均有不规则增厚的大多数为恶性肿瘤(78%),胸腔积液合并下肺叶病灶者大部分为恶性肿瘤(59%),胸腔积液合并上肺叶病灶者大部分为肺结核(92%),胸腔积液量较多者大部分为恶性肿瘤(59%)。结论:对胸膜增厚、原发病灶与胸腔积液患者的CT特征进行分析,可以增加准确诊断的几率,值得推广。
Objective: To explore the diagnostic value of CT in the diagnosis of pulmonary disease and pleural effusion in elderly patients. Methods: 80 elderly patients with pulmonary disease and pleural effusion admitted to our hospital from December 2012 to February 2014 were retrospectively analyzed. Results: 41.25% were bilateral pleural effusion, 58.75% were unilateral pleural effusion, 32 were encapsulated pleural effusion, 18.75% were pulmonary inflammatory lesions, 38.75% were tuberculosis and 42.50% were malignant tumors . Most patients with mediastinal pleura, pleura have irregular thickening of the majority of malignant tumors (78%), pleural effusion combined with lobular lesions are mostly malignant tumors (59%), pleural effusion associated with most of the lobular lesions For tuberculosis (92%), the majority of pleural effusions were mostly malignant (59%). Conclusions: CT features of patients with pleural thickening, primary lesions and pleural effusion may increase the chances of accurate diagnosis and are worth promoting.