Gottridge J A, Meyer B R, Schwartz N S, Lesser R S
Department of Medicine, North Shore University Hospital, Manhasset, NY 11030.
Arch Intern Med. 1989 Jul;149(7):1660-2.
To determine the value of chest roentgenograms in the management of asymptomatic persons with positive tuberculin skin test results, we undertook a retrospective review of all tests administered by our Employee Health Service, North Shore University Hospital, Manhasset, NY, between July 1, 1983 and November 1, 1987. Of 5200 tests, 247 results were positive. Two hundred twenty-one of these charts were reviewed for roentgenographic results and the presence of symptoms. All persons were asymptomatic. Chest roentgenograms revealed the following: normal, 188; unrelated abnormalities, 24; apical pleural thickening, 5; granulomas, 2; calcified hilar node, 1; and calcified node plus granuloma, 1. We noted no active tuberculosis, nor did the chest roentgenographic results influence recommendations for isoniazid prophylaxis. We conclude that chest roentgenograms are of value in 0% to 1.3% of asymptomatic people with positive tuberculin test results. A larger study should be undertaken to further define the usefulness of chest roentgenograms in this population.
为了确定胸部X线检查在管理结核菌素皮肤试验结果呈阳性的无症状人群中的价值，我们对纽约州曼哈塞特北岸大学医院员工健康服务部在1983年7月1日至1987年11月1日期间进行的所有检查进行了回顾性研究。在5200次检查中，有247次结果呈阳性。我们对其中221份病历的X线检查结果和症状情况进行了审查。所有人员均无症状。胸部X线检查结果如下：正常，188例；无关异常，24例；肺尖胸膜增厚，5例；肉芽肿，2例；肺门淋巴结钙化，1例；钙化结节加肉芽肿，1例。我们未发现活动性结核病，胸部X线检查结果也未影响异烟肼预防治疗的建议。我们得出结论，胸部X线检查对0%至1.3%的结核菌素试验结果呈阳性的无症状人群有价值。应开展更大规模的研究，以进一步明确胸部X线检查在该人群中的有用性。
