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Radiological diagnosis of chest wall tuberculosis: CT versus chest radiograph
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- Author:
- No author available
- Journal Title:
- CHINESE JOURNAL OF RADIOLOGY
- Issue:
- 2
- DOI:
- 10.3760/j.issn:1005-1201.2006.02.014
- Key Word:
- 结核,胸壁;体层摄影术,X线计算机;放射摄影术,胸部;对比研究
Abstract： 目的评价胸部X线摄影术及CT在胸壁结核诊断中的价值.方法对21例经手术、穿刺活检证实的胸壁结核作了影像学分析,其中男8例,女13例,年龄在19～84岁,中位年龄34岁;全部病例均作了胸部X线摄影术和CT扫描,9例作了增强CT扫描.结果 (1)胸部X线平片仅4例显示骨质破坏.(2)CT平扫则全部可见肋骨旁软组织肿块;16例边缘密度较高,中央密度较低,3例呈较高密度中有多发低密度,2例呈均匀较低密度.5例肋骨破坏,3例为膨胀性溶骨性骨破坏.增强扫描时8例肿块呈边缘强化.(3)21例CT所见的胸壁肿块,胸片均未能发现(χ2=42.000,P<0.01);4例CT上可见的4个纵隔及腋窝肿大淋巴结,胸片上均未能见到(χ2=4.421,P<0.05);2种影像学检查差异具有统计学意义.结论 CT,特别是增强CT扫描是确诊本病的首选方法.
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