Classification of chest wall tuberculosis CT and its guiding value of surgical treatment
10.3760/cma.j.issn.1673-4181.2014.02.012
- VernacularTitle:胸壁结核CT分型及其对手术治疗的指导价值
- Author:
Liang TANG
;
Jing ZHANG
- Publication Type:Journal Article
- Keywords:
Chest wall tuberculosis;
CT classification;
Surgical treatment
- From:
International Journal of Biomedical Engineering
2014;37(2):115-118
- CountryChina
- Language:Chinese
-
Abstract:
Objective To summarize and classify the CT manifestations of chest wall tuberculosis and to investigate the relationship between CT classification and clinical operation method.Methods CT data of 142cases was collected from patients that were confirmed by surgical pathology of chest wall tuberculosis.Bone algorithm reconstruction and volume rendring three-dimensional reconstruction were applied to observe ribs.Results Four types were classified according to the CT manifestations.Type Ⅰ:27 cases pleural tuberculoma,and all of which were conducted simple removal of lesions.Type Ⅱ:18 cases sternum or ribs tuberculosis,which were conducted surgical removal of the invaded frame and the surrounding lesions in caseous necrosis and all the tuberculous granuloma.Type Ⅲ:21 cases rib outboard tuberculosis,of which 12 cases were conducted simple removal of lesions and 9 cases removal of lesions and small segment of ribs.Type Ⅳ:76 cases hybrid,of which abscess excision plus rib resection in 65 cases and resection with chest wall abscess (muscle) between ribs and rib resection with padded muscle flap surgery in 11 cases.Conclusions CT can clearly show the location,size,scope of involvement of the chest wall tuberculosis,and selecting the preoperative surgical strategy based on CT classification can provide guidance for operation.
