44例糖尿病合并肺结核的胸部X线及CT分析

X-ray and CT Examination Analysis in 44 cases of Diabetes Complicated with Pulmonary Tuberculosis

目的对糖尿病合并肺结核患者的胸部X线及CT进行影像学分析探索,以此对糖病合并肺结核患者的诊断提供一定的参考,同时提高影像学的诊断水平。方法纳入糖尿病合并肺结核患者44例,对所有患者均进行胸部X线片及胸部CT检查,对比分析两种影像学方法的差异性。结果 44例糖尿病合并肺结核患者的影像学分析中,主要表现为大片状实变影、多发小结节及树芽征、空洞等,其中胸部CT表现大片实变影与空洞影等典型病灶比例较大,差异有统计学意义(P<0.05),具有一定的特殊性。结论糖尿病合并肺结核患者的影像学具有一定的特点,且CT检查较X线检查存在着一定的特征性,说明胸部CT检查对于本病的诊断十分重要,有助于提升本病在临床鉴别诊断方面的准确性。

Objective To analyze the imaging features of X-ray and CT examination in patients of diabetes complicated with pulmonary tuberculosis, provide a certain reference in the disease diagnosis and improve the imaging diagnosis perfor-mance. Methods 44 cases of diabetes complicated with pulmonary tuberculosis were selected. All the patients received the X-ray and CT examination. The imaging features based on two methods was compared. Results According to the imaging analysis, it was majorly featured as large patch of consolidation, multiple nodules, tree-in-bud patterns, cavity, etc. Based on CT examination, the typical lesions of consolidations and cavity had a larger proportion （P〈0.05）. Conclusion For pa-tients of diabetes complicated with pulmonary tuberculosis, its imaging has more features based on CT examination com-pared with X-ray examination. It indicates that CT examination is important for the disease diagnosis and good for promot-ing the clinical differential diagnosis accuracy.