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初治涂阳肺结核临床与X线转归对比分析(附3229例报告)
引用本文:李丽霞,易来龙,左金宝,李碧珍.初治涂阳肺结核临床与X线转归对比分析(附3229例报告)[J].实用放射学杂志,2006,22(4):408-410.
作者姓名:李丽霞  易来龙  左金宝  李碧珍
作者单位:广东省东莞市慢性病防治院,广东,东莞,523008
基金项目:广东省东莞市世界银行贷款中国结核病控制项目实施综合效果评价科研项目;世界银行贷款中国结核病控制项目
摘    要:目的探讨新发初治涂阳肺结核短程化疗的短期疗效与X线转归。方法新发初治涂阳肺结核3229例,全部采用2H3R3Z3S3/4H3R3或2H3R3Z3E3/4H3R3化疗方案,完成疗程时将临床疗效与X线转归进行对比。结果3229例完成疗程时,临床治愈3163例,治愈率98%;X线评价治愈664例,病灶吸收好转2499例,X线显示总有效率98%。结论新发初治涂阳肺结核采用标准化疗方案,临床治愈率高;X线显示化疗总有效率高;提示对于临床治愈时X线显示肺部病灶吸收好转的病例应进一步追踪观察。

关 键 词:胸部  肺结核  放射摄影术
文章编号:1002-1671(2006)04-0408-03
修稿时间:2005年8月2日

Comparative Analysis of Clinical Efficacy and X-ray Evolution of New Smear Positive Pulmonary Tuberculosis: A Report of 3229 Cases
LI Li-xia,YI Lai-long,ZUO Jin-bao,LI Bi-zhen.Comparative Analysis of Clinical Efficacy and X-ray Evolution of New Smear Positive Pulmonary Tuberculosis: A Report of 3229 Cases[J].Journal of Practical Radiology,2006,22(4):408-410.
Authors:LI Li-xia  YI Lai-long  ZUO Jin-bao  LI Bi-zhen
Abstract:Objective To evaluate the shore-term efficacy and the X-ray evolution of new smear positive pulmonary tuberculosis after short-course chemotherapy. Methods 3229 cases with new smear positive pulmonary tuberculosis were treated with 2H_3R_3Z_3S_3/4H_3R_3 or 2 H_3R_3Z_3E_3/4H_3R_3 chemotherapy.Clinical efficacy and the X-ray evolution were analyzed after treatment. Results Among 3229 cases after treatment,the clinical cure rate and chest X-ray effective rate were 98%(3163/3229) and 98%(3163/3229) respectively. Conclusion The standardized chemotherapy treatment can achieve high clinical cure rate and X-ray cure rate for pulmonary tuberculosis.
Keywords:chest  pulmonary tuberculosis  radiography
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