糖尿病合并肺结核的影像表现及分析

The Image Exhibition and Analyse of the Unite of Diabetes and Pulmonary Tuberculosis

目的:分析糖尿病合并肺结核的影像学特点。方法:35例糖尿病患者进行胸片和病灶体层检查,同时收集临床资料,对结核及糖尿病进行动态观察,并与35例未合并糖尿病的肺结核病例进行影像学对照。结果:35例糖尿病肺结核的病灶以双上肺野分布的29例(29/35),病灶形态呈大片融合或斑块的有30例(30/35),本组病例中发现空洞的有26例(26/35),单一病灶内多发虫噬状空洞的23例(23/26),支气管播散多见。血糖控后,病灶大多好转。结论:糖尿病肺结核的影像学表现在病灶的分布、形态及病灶内外的情况具有特点,高血糖状态对结核病灶的影响。

Objective：The researchers analyzed the characteristics of medical imagines about diabetes mellitus and lung TB complicated. Methods： 35patients who had DM was checked up their chest x-ray and lesions stratified. At the same time. researchers collected the clinical information through dynamic observation for tuberculosis and diabetes, comparing with 35 examples images who haven＇ t have comphcation. Results： 29 patients appeared symptoms in their two superior lobes of lung. And 23 patients＇ symptoms are in a large fusion area of the forms, it appeared the bronchitis in most of examples. As a result, most of them conditions took a favourable turn after contrahng their blood sugar. Conclusion ： The characteristics of medical imagines about diabetes mellitus and lung TB complicated manifest the focal distribution and morphology. It also shows the inside and outside conditions of the infected part. The hyperglycemia affects the tubercular.