不典型下肺叶结核58例分析

目的探讨不典型下肺叶结核的临床表现、X线诊断及鉴别诊断。方法回顾性分析58例下肺叶结核患者的临床及影像资料。男35例,女23例,好发于青壮年,18~35岁者占83%。结果X线检查发现病灶位于下叶背段最多;病灶性质包括渗出性病灶（45%）、增殖病灶（18%）、混合性病灶（37%）;主要形态有小叶肺炎型、浸润型、团块型、肺脓肿型和支气管播散型。结论X线正侧位胸片检查对下肺叶结核诊断有较高价值,但仍有部分病例须结合其它检查手段确诊。

Retrospective analysis of 58 patients with atypical pulmonary tuberculosis in lower field

Objective To explore the clinical and the chest X ray features in patients with atypical pulmonary tuberculosis in lower field.Methods Review of clinical data and the chest X ray features in 58 patients with pulmonary tuberculosis in lower field.35 cases were male,23 cases were female,83%of patients were youth and middle age.Results According to the chest X ray film findings,atypical pulmonary tuberculosis was mostly locating in dorsal segment of lower lobe,its propertys included effusion lesion (45%),proliferation lesion (18%),mixing property lesion (37%); its patterns included lobular pneumonia type,infiltration type,noddle type,pulmonary abscess type and bronchial dissemination type.Conclusion The chest X ray is a effective method in the diagnosis of atypical pulmonary tuberculosis in lower field,however other methods are still selected in some patients.