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结核球

结核球的相关文献在1990年到2020年内共计104篇,主要集中在内科学、肿瘤学、特种医学 等领域,其中期刊论文101篇、会议论文2篇、专利文献1篇;相关期刊76种,包括工企医刊、中国保健、实用医学影像杂志等; 相关会议2种,包括第九届全国临床放射学学术会议暨安徽省放射学第八次学术年会、第六次全国中西医结合影像学术研讨会等;结核球的相关文献由236位作者贡献,包括任锦玲、伍建林、曾旋华等。

结核球—发文量

期刊论文>

论文:101 占比:97.12%

会议论文>

论文:2 占比:1.92%

专利文献>

论文:1 占比:0.96%

总计:104篇

结核球—发文趋势图

结核球

-研究学者

  • 任锦玲
  • 伍建林
  • 曾旋华
  • 李伟明
  • 李智勇
  • 杨建辉
  • 林焕兴
  • 王健
  • 王淼淼
  • 谢汝明
  • 期刊论文
  • 会议论文
  • 专利文献

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    • 林红平
    • 《中国医学工程》  | 2018年
    • 摘要: 目的 分析螺旋CT在肺癌结节和结核球的诊断应用.方法 该院2012年2月-2017年2月诊治的48例肺部疾病患者同时进行临床诊断和螺旋CT诊断,根据临床表现和影像图中的胸廓形状、肺叶状态、气管走向及纵隔内状况的观察分析,对患者病情及肺病类型做出初步判断,后经手术病理验证诊断结果,经诊断及追踪探索螺旋CT的诊断准确性.结果 48例患者经临床诊断误诊5例,螺旋CT诊断误诊0例,与手术病理验证结果完全一致,包括肺癌结节20例,结核球26例,其他肺部疾病2例.结论 经诊断及追踪,采用螺旋CT诊断肺癌结节与结核球患者,省时简便,准确度高,适合临床应用.
    • 唐春耕; 尹喜; 王成伟
    • 《实用放射学杂志》  | 2017年
    • 摘要: 目的 探讨能谱CT在不典型结核球与肺癌中的鉴别诊断价值.方法 对45例肺结节或肿块患者进行能谱平扫及2期增强扫描,所有病灶均经病理证实.选取平扫、动脉期及静脉期能谱图像对不典型结核球组与肺癌组进行分析,测量、计算感兴趣区的标准化碘浓度(NIC)、能谱衰减曲线斜率(λHU)、平扫及2期增强扫描CT值.用两独立样本t检验分析2组病灶各能谱参数的差异.生成受试者工作特性(ROC)曲线,并比较各参数的灵敏度和特异度.结果 45例患者中,不典型结核球11例,肺癌34例.比较2组的NIC、两期增强λHU和70 keV单能量图像净增CT值,肺癌组均高于不典型结核球组,差异有统计学意义(P<0.05);而2组平扫CT值差异无统计学意义(P>0.05).当NIC诊断阈值为0.105时,约登指数最大(0.733),ROC曲线下面积(AUC)为0.89,灵敏度和特异度分别为82.4%和90.9%.结论 能谱CT各参数有助于不典型结核球与肺癌的鉴别诊断,尤其是NIC值诊断价值较高.%Objective To study the diagnostic value of spectral CT in atypical tuberculosis ball and lung cancer.Methods 45 cases of pulmonary nodule or mass received unenhanced and two phase enhanced scan in gemstone spectral imaging mode,and all pulmonary nodule or mass were confirmed by pathology.Selecting unenhanced,arterial phase and venous phases of spectrum image,atypical tuberculosis ball group and lung cancer group were analyzed.Normalized iodine concentration (NIC), the spectral curve slope (λHU),CT value of unenhanced and two phase enhanced spectrum image were measured and calculated.Two independent samples t-test was used for the statistic analysis of each spectrum parameters between the two groups.The receiver operating characteristic (ROC) curve was obtained for comparing the sensitivity and specificity of each spectral parameter.Results Among the 45 patients,11 were atypical tuberculosis ball, and 34 were lung cancer.Comparison NIC,two phase enhanced λHU and the net enhanced CT values of 70 keV monoenergetic image of the two groups, lung cancer group was higher than atypical tuberculosis ball group,and the difference was statistically significant(P<0.05);However, the unenhanced CT value of 70 keV monoenergetic image of the two groups was not statistically significant (P>0.05).When the NIC diagnostic threshold was 0.105, the maximum Youden index (0.733), the area under the ROC curve was 0.89, and sensitivity and specificity was 82.4% and 90.9%, respectively.Conclusion The quantitative parameters of spectral CT is helpful in the diagnosis of atypical tuberculosis ball and lung cancer,especially the NIC with high value.
    • 张伟利
    • 《中国医药指南》  | 2017年
    • 摘要: 目的 分析VATS对肺结核球的临床治疗效果.方法 以我院收治的52例肺结核患者为研究对象,数子法随机分为两组,对照组行常规开胸手术治疗,研究组行VATS治疗,对比两组患者的临床治疗效果.结果 研究组手术时间、术后胸管留置时间明显短于对照组,术中出血量明显少于对照组,差异具有统计学意义(P<0.05).研究组并发症总发生率为3.8%,明显低于对照组的11.4%,差异具有统计学意义(P<0.05).结论 与传统开胸手术对比,VATS对肺结核球的临床治疗效果明显,患者并发症发生率较低,适合于临床推广应用.
    • 林焕兴; 杜吉山; 刘兴; 李伟明; 曾旋华; 叶演红
    • 《中外健康文摘》  | 2014年
    • 摘要: 目的:肺部结核球的影像诊断与鉴别诊断。材料与方法:选择80例肺结核中合并球形病灶形成的患者进行影像学分析。结果:肺结核中合并结核球55例,合并肺癌25例。结论:结核球的形态特征、钙化特点及其周围影像学表现是鉴别要点。%Objective: To study the imaging method of diagnosis and differential diagnosis in detecting tuberculoma . Methods: Imageology approach was applied to diagnose 80 cases of tuberculosis lesions combined the form of spherical focus. Results: The results showed that 55 cases had get tuberculoma, and the other 25 cases had developed lung cancer. Conclusion:The morphologic characteristics,calcification feature and surrounding imaging display are main points in tuberculoma. diagnosing.
    • 张洁; 陈许; 杜中立; 陈敏; 吴雪丽; 韩铭钧
    • 《临床肺科杂志》  | 2015年
    • 摘要: Objective To discuss the relationship of the different kinds of pathological lesions of secondary tuberculosis to age, attack time, first treatment and re-treatment. Methods 384 patients with secondary pulmonary tuberculosis confirmed by pathology or clinical checks were reviewed. The different kinds of pathological lesions were observed through CT images, including exudative lesions, caseous pneumonia, tuberculoma, cavitation, and prolifer-ative lesions. The relationship between the patterns of lesions and the clinical factors such as their age, attack time, and the results of bacteriological examination were also analyzed. Results There was no significant difference in le-sion distribution among different age groups (χ2 = 14. 916, P = 0. 061), but it showed certain differences between the first treated group and the re-treated group (χ2 = 122. 293, P = 0. 0001). With the extension of disease time, the in-cidence of exudative lesions and caseous pneumonia decreased, and the incidence of cavitation increased ( χ2 =97. 280, P = 0. 001). The sputum examination of different kinds of SPTB lesions was significantly different (χ2 =12. 813, P = 0. 012). Conclusion The incidence of cavitation significantly increases with the extension of disease time, but the incidence of exudative lesions and caseous pneumonia decreases.%目的:探讨继发型肺结核各类病变与年龄、发病时间、初治或复治之间的相互关系。方法收集继发型肺结核384例,统计分析渗出性病变、干酪性肺炎、结核球、空洞性病变与增殖性病变的发生率与发病年龄、发病时间和细菌学检查的关系。结果在不同年龄组中,各类病变的分布无统计学差异(χ2=14.916,P =0.061)。初治与复治组中,各类病变发生率的差异具有统计学意义(χ2= 122.293,P =0.0001)。按从出现症状到 CT 检查的时间间隔,将327例新发病例分为急性组、亚急性组和慢性组。随着发病时间延长,渗出性病变、干酪性肺炎发生率下降、空洞性病变发生率上升,差异具有统计学意义(χ2= 97.280,P =0.001)。各类病变的痰检阳性率具有显著差异(χ2= 12.813,P =0.012)。结论随着发病时间延长,空洞性病变明显增多,渗出性病变和干酪性肺炎比例有所下降。
    • 陈金梅; 赵伟; 赵瑞红
    • 《武警后勤学院学报:医学版》  | 2015年
    • 摘要: 1临床资料患者男,41岁,主因间断头晕、右下肢乏力、呕吐3月余,发现结肠肿物6 d入院。患者于入院前3个月余无明显诱因出现间断头晕、右下肢乏力,伴盗汗,无发热、头痛、视物旋转,无耳鸣,就诊神经内科门诊,行头颅平扫CT、颈椎片等未发现特殊异常,给予输液、针灸理疗等治疗,效果欠佳,并逐渐出现食欲不振、喷射性呕吐,约3~4 d 1次,呕吐物为胃内容物,无腹痛、腹胀、反酸、烧心等症状。
    • 胡善朋
    • 《中国卫生标准管理》  | 2018年
    • 摘要: 目的 分析球形肺炎的CT诊断及鉴别诊断.方法 对我院2016年1月—2017年12月行CT检查的30例球形肺炎患者的影像诊断资料进行回顾性分析.结果 30例球形肺炎患者中,病变位于左肺上舌段4例、左肺上叶前段3例、右肺中叶5例、肺野背侧18例;病变阴影主要呈球形或类圆形,直径1.2~6.3 cm;病变密度20例均匀,10例不均匀;边缘特征表现为分叶、边缘模糊、三角形病灶.结论 球形肺炎容易与其他肺部病变相混淆,但球形肺炎的CT表现具有一定的特殊性,通过CT检查可为疾病的鉴别与诊断提供重要信息.
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