肺结核合并2型糖尿病的影像学特点及动态表现

Imaging characteristics and dynamic performance of pulmonary tuberculosis with Ⅱ diabetes

目的:分析肺结核合并2型糖尿病的影像学特点及动态表现情况。方法:随机选取肺结核合并2型糖尿病以及单纯肺结核患者各40例,分别列为观察组与对照组,均行DR(数字X线摄影)胸片检查,对两组患者的胸片检查情况比较分析,并对观察组胸片的动态影像学特点进行分析,对所有患者的临床治疗情况予以统计。结果:观察组患者病灶较之对照组相对更大(P<0.05)。观察组病灶分布于肺部上叶前段的患者相对更多(P<0.05);在下叶背段以及上叶尖后段的分布数量两组比较不具统计学差异(P>0.05);非典型性的分布部位主要有左肺舌叶和右肺中叶。观察组出现空洞、坏死及干酪性肺炎特征的患者比率明显更高(P<0.05);在渗出病变与支气管播散征特点上差异无统计学意义(P>0.05);观察组多发空洞出现率更高(P<0.05)。在治疗的2个月内影像学动态变化明显,两组临床治疗均有效。结论:临床应根据肺结核合并2型糖尿病的影像学特异性特点,及早通过胸片等方式进行检查,以利于临床早期诊断和治疗。

Objective To analyze the imaging characteristics and dynamic performance of pulmonary tuberculosis with Ⅱ diabetes. Method 40 pulmonary tuberculosis with U diabetes patients and 40 tuberculosis patients were randomly selected, and defined as observation group and control group ,two groups were all diagnosed by plain chest radiograph, then compared and analyzed chest radiograph ex- amination of two groups, and analyzed imaging characteristics of dynamic chest radiograph of the observation group,summarized the clinical conditions of all patients. Results The lesions of the observation group was relatively larger compared with the control group（ P 〈 0. 05 ）, The number of the lesions on the front of pulmonary lobe of the observation group patients was relatively more than that of control group（ P 〈 0. 05 ） ,The number of the lesions of two groups in the back section of lobectomy under seetionand the blade tip had no statistical differences （ P 〉 0. 05 ） , the parts of atypical distribution were mainly on left tongue lobe and middle of the right lung. The patients appeared empty and necrosis and fiber characteristics of cheese pneumonia of the observation group was significantly higher（ P 〈 0. 05 ） , there was no ob- vious difference on the features of the pathological changes of seepage and endobronchial spread（ P 〉0. 05） ,the multiple empty rate of the observed group was higher, it had significantly change on imaging of dynamic within 2 months of treatment, and clinical therapy of two groups were all effective. Conclusion The clinical should diagnose as early as possible based on specificity characteristics of tuberculosis merger Ⅱ imaging through the methods such as chest radiograph to improve the clinical outcomes.