胸部X线摄影术与CT诊断胸壁结核探讨

目的探讨胸部X线摄影术和CT在胸壁结核中的诊断价值。方法总结我院25例胸壁结核的X线和CT影像特征,经手术或病理确认,比较两种检查方式结果的准确性。结果胸部X线摄影发现了肿块13例,CT全部25例均有发现,X线摄影对胸腔中的肿块发现有一定的难度;肿块的清晰度和周围组织的细微情况,X线摄影不清晰,而CT则能清晰显示。结论 X线摄影术只能初步发现胸壁结核,CT扫描能清楚显示软组织肿块的精确位置和内部结构,以及肿块周边组织受损情况。对骨质受到的破坏情况,需CT甚至增强CT扫描才能了解详细情况。

The discussion of CT and chest radiograph for diagnosis of chest wall tuberculosis

Objective To evaluate the role of CT or chest radiograph in diagnosis of chest wall tuberculosis. Methods To summerize 25 cases with chest wall tuberculosis confirmed by operation or pathologic performed by chest radiograph and plain CT, to compare the accuracy of the results. Results The chest radiograph found lumps in 13 cases, while CT showed all 25 cases. Conclusion The chest radiograph can only be taken preliminary findings of chest wall tuberculosis, while CT scan can clearly show the exact location of the soft tissue mass and internal structure, and surrounding tissue mass. The finding of the damage of bones will need CT or especially enhanced CT scan for showing the details.