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[浸润性肺结核患者肺微循环床及胸内淋巴结的闪烁扫描评估]

[Scintigraphic evaluation of pulmonary microcirculatory bed and intrathoracic lymph nodes in patients with infiltrative tuberculosis].

作者信息

Sigaev A T, Perfil'ev A V, Chukanov V I, Chernyshov V N

出版信息

Probl Tuberk. 1998(6):44-8.

Abstract

Complex radionuclide study was conducted in 134 patients with infiltrative tuberculosis. According to the extent and severity of a specific process in the lung, all the patients were divided into two groups. Group 1 comprised 43 patients and group 2 included 91. Radionuclide studies were made according to two parameters: the activity of dysfunction of intrathoracic lymph nodes (ITLN) in the mediastinum with Ga-67 citrate and the magnitude of pulmonary regional circulatory disorders. The results of radionuclide studies in patients with infiltrative pulmonary tuberculosis indicated that not only a lung tissue inflammatory response, but also the development of pneumosclerotic changes both at the site of the basic specific process and in the intact area are responsible for regional circulatory disorders. The absorption uptake of Ga-67 citrate in the mediastinal lymph nodes and in the inflamed lung tissue areas varied with the process of chemotherapy and the beginning of a radionuclide study.

摘要

对134例浸润性肺结核患者进行了复杂的放射性核素研究。根据肺部特定病变的范围和严重程度,将所有患者分为两组。第一组有43例患者,第二组有91例。放射性核素研究依据两个参数进行:用枸橼酸镓-67检测纵隔内胸内淋巴结(ITLN)功能障碍的活性以及肺局部循环障碍的程度。浸润性肺结核患者的放射性核素研究结果表明,不仅肺组织的炎症反应,而且在基本特定病变部位及正常区域发生的肺硬化性改变均是导致局部循环障碍的原因。纵隔淋巴结和发炎肺组织区域对枸橼酸镓-67的摄取随化疗过程和放射性核素研究的开始而变化。

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