土耳其东南部74例结核性脑膜炎患儿的胸部计算机断层扫描结果

Chest computerized tomography scan findings in 74 children with tuberculous meningitis in southeastern Turkey.

作者信息

Yaramiş Ahmet, Bükte Yaşar, Katar Selahattin, Ozbek M Nuri

机构信息

Department of Pediatrics, Dicle University Faculty of Medicine, Diyarbakir, Turkey.

出版信息

Turk J Pediatr. 2007 Oct-Dec;49(4):365-9.

PMID:18246736

Abstract

This prospective study was done over seven years from 1996 to 2003 to investigate the chest computed tomography scan findings along with other radiologic examinations that included chest roentgenography and cranial computed tomography in children with tuberculous meningitis (TBM). Chest roentgenography demonstrated abnormal findings in 32 cases (43%) (hilar adenopathy, 32%; miliary pattern, 18%; bronchopneumonic infiltrate, 24%), while chest computerized tomography was abnormal in 65 cases (88%; p<0.005): mediastinal and hilar lymphadenopathy were present in 46% (p<0.005); miliary pattern, in 23% (p<0.05); and bronchopneumonic infiltrate, in 23% (p<0.05). Cranial computerized tomography was abnormal in 68 cases (92%). Chest computerized tomography scan helps establish the diagnosis of TBM when chest radiography is normal or inconclusive, and it is useful in assessing children with suspected TBM.

摘要

这项前瞻性研究于1996年至2003年进行，为期七年，旨在调查结核性脑膜炎（TBM）患儿的胸部计算机断层扫描结果以及其他放射学检查结果，这些检查包括胸部X线摄影和头颅计算机断层扫描。胸部X线摄影显示32例（43%）有异常表现（肺门淋巴结肿大，32%；粟粒样阴影，18%；支气管肺炎浸润，24%），而胸部计算机断层扫描有65例（88%；p<0.005）异常：纵隔和肺门淋巴结肿大占46%（p<0.005）；粟粒样阴影占23%（p<0.05）；支气管肺炎浸润占23%（p<0.05）。头颅计算机断层扫描有68例（92%）异常。当胸部X线摄影正常或结果不明确时，胸部计算机断层扫描有助于TBM的诊断，并且对疑似TBM的患儿评估很有用。