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[计算机断层扫描在结核后胸内淋巴结病诊断中的应用]

[Computed tomography in diagnosis of post-tuberculous intrathoracic lymphadenopathies].

作者信息

Lazareva Ia V, Koriakin V A

出版信息

Probl Tuberk. 1998(3):45-8.

PMID:9691690
Abstract

Among 454 adults with various lung diseases, patients with calcified intrathoracic lymph nodes (CITLN) formed after latent and spontaneously cured primary tuberculosis infection were identified by computed tomographic findings. Among the patients with tuberculosis, there were 6% of cases with CITLN, 68% with central cancer, 46% with peripheral cancer, 37% with pneumonia. Among the patients with tuberculosis, CITLN as a possible source of reactivation of tuberculosis infection and occurrence of secondary tuberculosis had no substantial impact on the occurrence of secondary tuberculosis in adults. The pathogenetic significance of CITLN can be followed in malignant tumors, bacterial pneumonias, and in central cancer of the lung in particular.

摘要

在454名患有各种肺部疾病的成年人中,通过计算机断层扫描结果确定了在潜伏性和自发治愈的原发性结核感染后形成钙化胸内淋巴结(CITLN)的患者。在患有结核病的患者中,CITLN病例占6%,中心型癌症患者占68%,周围型癌症患者占46%,肺炎患者占37%。在患有结核病的患者中,CITLN作为结核感染再激活和继发性结核病发生的可能来源,对成人继发性结核病的发生没有实质性影响。CITLN的致病意义可在恶性肿瘤、细菌性肺炎尤其是肺癌中心型癌症中得到追踪。

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