摘要
目的探讨胸膜结核球的临床特征。方法分析我院收治68例胸膜结核球临床资料。结果 68例中男性37例,女性31例,平均年龄32岁,不正规化疗和未及时抽出胸水者62例,患者以咳嗽、胸闷及胸痛为常见症状,无症状者21例,胸CT示单发者61例,多发者7例;病灶与胸膜呈"D"字型类圆形59例,圆形6例,密度不均匀45例。病理检查:68例行CT定位下经皮穿刺活检62例,符合结核性病理改变49例。治疗及转归:54例患者继续原方案治疗,其中5例患者治疗过程出现病灶增大合并极少量胸腔积液,经抗结核治疗一月余病灶明显缩小,胸腔积液吸收;8例患者调整抗结核方案治疗;6例患者行胸腔镜手术治疗;全部病例经抗结核治疗并延长疗程,停药后两年门诊随访均未出现复发。结论胸膜结核球是结核性胸膜炎发生、发展与转归的一个重要过程。
Objective To explore the clinical characteristics of pleura tuberculoma. Methods The clinical files of 68 patients with pleura tuberculoma were respectively analyzed. Results There were 37 male patients, 31 female patients and their average age was 32 years old. 62 patients were treated with chemical therapy informally and the pleura fluid was not drained in time. Cough, dyspnea and chest pain were the common symptoms in these patients, 21 patients had no clinical symptom. The thoracic CT manifest 61 patients had single focus, 7 patients had multiple focus. The shape of focus and the pleura was D type in 59 patients, and round shape in 6 patients. The density was not uniform in 45 patients, pathological examination ： 62 patients were diagnosed through percutaneuous biopsy under CT position. 49 patients accorded with tuberculosis venereal bedding change. Treatment and prognosis： 54 patients were treated with the original treatment plan. Among them, 5 paticnts＇s focus became bigger and merge very little pleura effusion, the focus shrinked obviously and pleura effusion was absorbed after accepting antituberculosis therapy for 1 month. The treatment was adjusted in 8 patients. 6 patients were treated with Thoracoscope surgery. All patients were treated with anti-tuberculosis drugs and the courses were prolonged. No one relapsed after the drugs were stopped in the follow-up of 2 years. Conclusion Pleura tuberculoma is one important course of tuberculosis pleurisy during its onset, development and outcome.
出处
《临床肺科杂志》
2012年第12期2209-2210,共2页
Journal of Clinical Pulmonary Medicine
关键词
结核球
胸膜
临床特征
tuberculosis
pleura
clinic clinical character
