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目的总结老年肺结核的影像特点,提高诊断准确率。方法回顾分析200例老年肺结核X线、CT表现。结果本组肺结核中:Ⅱ型13例(6.5%);Ⅲ型163例(81.5%),合并胸膜炎44例(22%);Ⅳ型24例(12%)。表现为:陈旧性病灶85例(42.5%);渗出增殖性病变81例(40.5%);干酪性肺炎47例(23.5%);空洞性病变127例(63.5%);结核球12例(6%);粟粒状改变13例(6.5%);结核性胸膜炎68例(34%);淋巴结增大57例(28.5%)。结论老年肺结核病变部位不典型,病灶形态多种多样,只有综合分析,才能对本病做出正确诊断。
Objective To summarize the imaging features of elderly pulmonary tuberculosis and improve the diagnostic accuracy. Methods Retrospective analysis of 200 cases of elderly pulmonary tuberculosis X-ray, CT findings. Results In this group of tuberculosis, 13 cases (6.5%) were type Ⅱ, 163 cases (81.5%) were type Ⅲ, 44 cases were complicated with pleurisy (22%) and 24 cases (12%) were type Ⅳ. 81 cases (40.5%) of exudative proliferative lesions; 47 cases (23.5%) of caseous pneumonia; 127 cases (63.5%) of empty lesions; 12 cases of tuberculous meningitis 6%); miliary change in 13 cases (6.5%); tuberculous pleurisy in 68 cases (34%); lymph node enlargement in 57 cases (28.5%). Conclusion Elderly patients with pulmonary tuberculosis lesions are not typical, a variety of lesions in various forms, only a comprehensive analysis in order to make a correct diagnosis of the disease.