2型糖尿病合并肺结核CT检查研究

CT scan research of pulmonary tuberculosis in the diabetes

目的:研讨2型糖尿病合并肺结核CT表现和特点。方法:45例糖尿病合并肺结核患者全部作常规胸片和胸部CT扫描,部分病例局部行高分辨CT(HRCT),8例作了增强扫描。结果:96个肺段发现病灶,其中实变为主15例,空洞11例,结节肿块11例,斑片影8例。结论:2型糖尿病合并肺结核CT影象表现多样性,CT(HRCT)对确诊病灶和判断活动性具有决定意义,多发虫蚀样空洞为糖尿病合并肺结核病灶特征表现。

Objective: To discuss CT appearance and character of pulmonary tuberculosis in diabetic patients. Methods: CT chest scans and chest plain film were made in 45 diabetic patients with pulmonary tuberculosis including enhancement of 8 patients. Results: CT imaging showed lesion in 96 lung segments. There weremainly active lesion as consolidation 15, opacity 11, modosity and mass 11. Conclusion: CT imaging of pulmonary tuberculosis in diabetes is multiple. CT (HRCT; can diagnose its lesion and activity. Multiple small bubble cavity is characteristic appearance of pulmonary tuberculosis of diabeties