Kim Woo Sun, Choi Joon-Il, Cheon Jung-Eun, Kim In-One, Yeon Kyung Mo, Lee Hoan Jong
Department of Radiology, Seoul National University College of Medicine Institute of Radiation Medicine, Seoul National University Medical Research Center, Seoul, Korea.
AJR Am J Roentgenol. 2006 Oct;187(4):1024-33. doi: 10.2214/AJR.04.0751.
As complications of tuberculosis are frequent in infancy, correct diagnosis of tuberculosis in infants is important. The purposes of this study are to summarize radiographic and CT findings of pulmonary tuberculosis in infants and to determine the radiologic features frequently seen in infants with this disease.
Frequent radiologic findings of pulmonary tuberculosis in infants are mediastinal or hilar lymphadenopathy with central necrosis and air-space consolidations, especially masslike consolidations with low-attenuation areas or cavities within the consolidation. Disseminated pulmonary nodules and airway complications are also frequently detected in this age group. CT is a useful diagnostic technique in infants with tuberculosis because it can show parenchymal lesions and tuberculous lymphadenopathy better than chest radiography. CT scans can also be helpful when chest radiographs are inconclusive or complications of tuberculosis are suspected.
由于婴儿期结核病并发症常见,因此准确诊断婴儿结核病很重要。本研究的目的是总结婴儿肺结核的影像学和CT表现,并确定该疾病婴儿中常见的放射学特征。
婴儿肺结核常见的放射学表现为纵隔或肺门淋巴结肿大伴中央坏死及气腔实变,尤其是具有低密度区的肿块样实变或实变区内有空洞。该年龄组中还常检测到播散性肺结节和气道并发症。CT对于患有结核病的婴儿是一种有用的诊断技术,因为它比胸部X线检查能更好地显示实质病变和结核性淋巴结肿大。当胸部X线检查结果不明确或怀疑有结核病并发症时,CT扫描也会有帮助。