摘要
本文分析29例胸内淋巴结结核的病史及X线表现及1例的CT增强扫描影像。右侧淋巴结病变明显多于左侧。气管旁(或伴奇静脉组)淋巴结肿大的x线表现如下:1.纵隔影轻度增宽,边缘平直。2.纵隔旁多发结节,呈串珠状或葫芦形。3.肿块状。肺门淋巴结肿大表现为散在结节状或成串状。1例增强CT扫描图像显示病变淋巴结呈肿块或结节状,边缘有不同厚度增强的壁。本文还讨论了胸内淋巴结结核的X线诊断和鉴别诊断,以及其他检查方法的鉴别诊断意义。
Twenty-nine cases of tuberculous thoracic lymphadenopathy were studied. The x-ray appearances of paratracheal nodes (sometimes with azygos vein nodes) were: (1) the mediastinum was slightly widened and the margins were smooth and even; (2) multiple nodes located in the mediastinum appeared like a chain of pearls or a cucurbit; and (3) sometimes multiple nodes were matted together to form a mass. The involved hilar lymph nodes were seen as separated coin-shaped shadows or arranged like a cluster of grapes. Enhanced CT scanning of chest was performed in one case, which showed the involved lymph nodes had thickened, enhanced and uneven rims.
The diagnosis and differential diagnosis of tuberculous thoracic lymphadenopathy in adults are discussed.
出处
《上海医学》
CAS
CSCD
北大核心
1990年第11期638-641,2,共4页
Shanghai Medical Journal
