Comparison of High Resolution Chest Tomography with Chest X Ray in Deciding Chemotherapy Treatment Duration of Pulmonary Tuberculosis

比較胸部X光與高解析胸部電腦斷層對肺結核病患肺部開洞病灶之偵測能力及治療時間長短之影響

呂云傑(Yun-Chieh Lu) ； 許育彰(Min-Jer Hsu) ； 許明哲(Yu-Chang Hsu) ； 林旻希(Min-Hsi Lin) ； 黃炳生(Bing-Sang Wong) ； 王仁星(Jen-Hsing Wang)

《安泰醫護雜誌》 14卷4期 (2008/12) Pp. 241-246

https://doi.org/10.7078/TSMHMNJN.200812.0241

摘要

肺結核是現今世界一個重要的公衛課題。對於起始治療時，胸部X光上出現開洞病灶之患者，需考慮延長藥物治療來降低復發的機會。高解析胸部電腦斷層較胸部X 光能偵測更多細部病灶。本文對於九十五年九月至十二月東港安泰醫院二十五個新發現之肺結核個案，施予高解析胸部電腦斷層檢查，發現高解析胸部電腦斷層能找出更多肺部開洞之病灶。結論：對肺結核患者於初始治療時，施予高解析胸部電腦斷層，可發現更多肺部開洞病灶，從而避免因治療時間不足而產生結核病復發之可能。

關鍵字

肺結核 ； 高解析胸部電腦斷層 ； 胸部X光

並列摘要

Pulmonary tuberculosis is a serious public health issue. Previous studies have shown that patients with cavities on initial chest X rays (CXR) before tuberculosis treatment may need prolonged treatment. High resolution chest tomography (HRCT) can yield more details concerning pulmonary parenchyma. In this study, we compared the cavity-detection efficacies for CXR and HRCT in 25 patients. Two revealed cavities on HRCT but not on CXR. The reverse was noted in another patient. These patients would have received inappropriate treatment duration if CXR had been performed solely. HRCT would seem to decrease the rate of relapse and resistance in the beginning of treatment for pulmonary tuberculosis.

並列關鍵字

Running title ； tuberculosis ； cavity ； CXR ； HRCT