CT与X线片对空洞型肺结核的观察分析

Analysis of CT and X-ray Observations of Cavitary Pulmonary Tuberculosis

目的 总结分析CT与X线扫描检查在空洞型肺结核患者诊断和治疗中的应用情况。方法 选择2010年6月-2012年11月期间我院收治的50例空洞型肺结核患者为研究对象,均给予CT和X线扫描检查,观察比较两种影像学检查资料的差异情况。结果CT扫描结果中空洞、卫星病灶、支气管播散、胸膜肥厚、淋巴肿大以及胸腔积液检出数明显多于X线检出数,差异具有统计学意义（P〈0.05）;CT扫描主要影像特征表现为小点状、结节状、小片状、纤维条索状阴影、不规则钙化影、肺小叶间隔增厚、支气管扩张以及毛玻璃样渗出征象。X线扫描主要影像特征表现为结核灶周边小点状、小片状、条索状阴影。结论 与X线扫描相比,CT扫描在空洞型肺结核患者治疗中具有更高应用价值,必要时为了提高诊断准确率可选择联合使用CT与X线扫描进行确诊。

Objective To analyze the application of CT and X-ray scan in patients with cavitary tuberculosis diagnosis and treatment in summary. MethodsDuring June 2010-2012 year in November 50 cases of cavernous pulmonary tuberculosis patients in our hospital as the research object, were treated with CT and X-ray examination,check the data to compare the difference of two imaging.Results The results of CT scanning in empty, satelite lesions, bronchial dissemination, pleural thickening, lymphadenopathy and pleural effusion were detected than X-ray detection, the difference was statisticaly significant （P 〈 0.05）; CT scanning image features as smal punctate, nodular, patchy, smal fiber cord like shadows, irregular calcification, lunginterlobular septal thickening, bronchiectasis and ground glass like exudate signs. X-ray scanning image characteristics of smal punctate, smal pieces of surrounding tuberculosis, cord like shadows.Conclusion Compared with the X-ray scanning, CTscanning has higher application value in the treatment of cavitary pulmonary tuberculosis patients, when necessary, in order to improve the accuracy of diagnosiscan be combined using the CT were diagnosed with X-ray scan.