Otto H
Radiologe. 1981 Mar;21(3):122-6.
In spite of a decreasing number of new cases of silico-tuberculosis even today there still remains a serious complication of silicosis. The job of radiology is to recognise the disease, evaluate the course of the disease during therapy and classify the disease for compensation purposes. Due to the pathogenetic and pathomorpohologic similarities of silicosis and tuberculosis, it is often difficult and sometimes even impossible to recognise the presence of tuberculosis in cases of silicoses or to identify and isolate the TB component in silicotuberculosis. Careful consideration of all radiological and clinical parameters improves the accuracy of diagnosis. Since the radiographic examination provides the only method of evaluating the morphologic state of the disease, radiology will keep its central position in the diagnosis of silicotuberculosis.
尽管时至今日硅肺结核新病例数在减少,但矽肺的一种严重并发症仍然存在。放射学的任务是识别该疾病,在治疗期间评估疾病进程,并为赔偿目的对疾病进行分类。由于矽肺和肺结核在发病机制和病理形态学上存在相似性,在矽肺病例中识别肺结核的存在,或在硅肺结核中识别并分离出结核成分,往往很困难,有时甚至不可能。仔细考虑所有放射学和临床参数可提高诊断的准确性。由于影像学检查是评估疾病形态学状态的唯一方法,放射学在硅肺结核的诊断中将保持核心地位。