中国实用内科杂志2025，Vol.45Issue(12)：981-994,14.DOI:10.19538/j.nk2025120101
尘肺结核胸部影像学诊断中国专家共识
Chinese expert consensus on chest imaging diagnosis of pneumoconiosis-tuberculosis
《尘肺结核胸部影像学诊断中国专家共识》撰写组 1中华预防医学会煤炭系统分会职业病学组 1国家尘肺病诊疗中心 1李宝平 1孙治平 1周云芝1
作者信息
摘要
Abstract
Pneumoconiosis and pulmonary tuberculosis are two independent diseases.Whether a patient with pneumoconiosis is complicated with pulmonary tuberculosis or a patient with pulmonary tuberculosis is complicated with pneumoconiosis,it is called pneumoconiosis-tuberculosis,and the two are each other's"complications".Pneumoconiosis-tuberculosis is more difficult to treat,and has a worse prognosis and a higher mortality rate than simple pneumoconiosis or simple pulmonary tuberculosis.If early diagnosis and treatment can be achieved,the prognosis can be significantly improved.Chest X-ray is a preliminary screening tool for pneumoconiosis-tuberculosis,which is convenient and economical,but has low sensitivity and specificity,which may lead to missed diagnosis.Chest CT is a key tool for the diagnosis of pneumoconiosis-tuberculosis,with high resolution,which can clearly show small lesions,cavities and calcification,bronchial tuberculosis and dynamic changes of tuberculosis lesions,and has greater value for early diagnosis and differential diagnosis.Both chest X-ray and chest CT have important clinical significance in the diagnosis of pneumoconiosis-tuberculosis and complement each other.However,due to the complex and variable imaging manifestations of this disease,there are still many cases of missed diagnosis,delayed diagnosis and even misdiagnosis in clinical practice.In this consensus,relevant experts have been organized to comprehensively and systematically expound the chest imaging features and diagnostic experience of pneumoconiosis-tuberculosis and put forward targeted consensus recommendations based on practice,and the aim is to provide a basis for improving the prevention and treatment capabilities of pneumoconiosis-tuberculosis in medical institutions at all levels,enhance the diagnostic awareness and professional competence of practitioners,and ultimately achieve the core goal of early diagnosis,early treatment,and early recovery of patients.关键词
尘肺结核/尘肺病/肺结核/胸部影像学/共识Key words
pneumoconiosis-tuberculosis/pneumoconiosis/pulmonary tuberculosis/chest imaging/consensus分类
医药卫生引用本文复制引用
《尘肺结核胸部影像学诊断中国专家共识》撰写组,中华预防医学会煤炭系统分会职业病学组,国家尘肺病诊疗中心,李宝平,孙治平,周云芝..尘肺结核胸部影像学诊断中国专家共识[J].中国实用内科杂志,2025,45(12):981-994,14.
