Eini Peyman, Owaysee Osquee Hamid, Sajjadi Nasab Masoud, Nasiroghli Khiyabani Farzaneh, Rahighi Amir Hosein
Department of Infectious Diseases, School of Medicine, Hamedan University of Medical Sciences, Hamedan, Iran.
Caspian J Intern Med. 2013 Fall;4(4):777-80.
Chest x-ray has an important role in the diagnosis of tuberculosis (TB). The aim of this study was to determine the radiological changes in patients with smear positive pulmonary tuberculosis.
In this study, 325 patients with smear positive pulmonary TB was enrolled. The affected lobe or lobes of the left or right lung were recorded. The types of involvement were categorized based on patchy consolidation, cavitation, collapse consolidation and bronchopneumonia. The data were collected and analyzed.
From the 325 patients, 116 (35.7%) were males and 209 (64.3%) were females. The most frequent involved site was the left upper lobe in 175 (53.8%) followed by the right upper lobe in 134 (41.2%) cases. The most frequent radiographic finding was bronchopneumonia in 242 (74.4%) cases. Patchy consolidation was detected in 99 (30.4%) patients. Cavitary lesion and pleural effusion were observed in 68 (20.9%) and 35 (10.7%) patients, respectively.
The results show that pulmonary upper lobes were the most frequent involved sites.
胸部X线在肺结核（TB）诊断中具有重要作用。本研究旨在确定痰涂片阳性肺结核患者的放射学变化。
本研究纳入了325例痰涂片阳性的肺结核患者。记录左肺或右肺受影响的一个或多个肺叶。根据斑片状实变、空洞形成、肺不张实变和支气管肺炎对受累类型进行分类。收集并分析数据。
325例患者中，男性116例（35.7%），女性209例（64.3%）。最常受累部位是左上叶，共175例（53.8%），其次是右上叶，共134例（41.2%）。最常见的影像学表现是支气管肺炎，共242例（74.4%）。99例（30.4%）患者检测到斑片状实变。分别有68例（20.9%）和35例（10.7%）患者观察到空洞性病变和胸腔积液。
结果表明，肺上叶是最常受累部位。
