摘要：目的探讨MSCT对小儿结核性胸膜炎的诊断价值。方法回顾性分析经病理和(或)实验室检查证实的36例小儿结核性胸膜炎患者的MSCT表现。结果36例结核性胸膜炎患者的CT表现主要分为四型:单纯渗出性胸膜炎24例，单纯性局限性胸膜炎4例，渗出及局限胸膜病变共存5例，慢性胸膜病变3例，合并肺结核5例。36例中胸腔积液左侧15例，右侧10例，双侧4例。积液量：大量游离积液者4例，中等量16例，少量5例，局限包裹性积液4例。结论MSCT检查对小儿结核性胸膜炎的诊断及鉴别诊断具有重要价值，为临床疗效评价和转归判断提供可靠依据。

    关键词：小儿；结核性胸膜炎；MSCT；后处理技术

    The Value of MSCT Diagnosis of Tuberculous Pleurisy (A Report of 36 Cases)

    GE Hai-lan,ZHANG Quan

    (Department of Radiology,Gansu Second People's Hospital,Lanzhou 730000,Gansu,China)

    Abstract：Objective To explore the value of MSCT in diagnosis of pediatric patients with tuberculous pleurisy.Methods Retrospective analysis of MSCT manifestations in 36 cases of pediatric patients with tuberculous pleurisy confirmed by pathology and /or laboratory tests.Results CT manifestation of 36 patients with tuberculous pleurisy is mainly classified with four types:24 cases with pure exudative pleurisy,4 cases with simple limitations pleurisy,5 cases combined with exudation and limitation pleurisy,3 cases with chronic pleural lesion,5 cases combined with tuberculosis.15 patients have pleural effusion on the left side in this 36 cases, 10 on the right side and 4 on both sides.The amount of effusion in this 36 cases will be the list:4 cases with large amount,16 cases with medium and 5 cases with small amount.4 cases with parcel effusion in this 36 patients.Conclusion MSCT scan has much more important value in diagnosis and differential diagnosis of pediatric patients with tuberculous pleurisy.It provides reliable evidence in evaluation of treatment effect and outcomes. ......