2型糖尿病合并肺结核的CT特点

CT And Clinical Characteristic of Pulmonary Tuberculosis in the Diabetes

目的 探讨 2型糖尿病合并肺结核CT及临床表现特点。方法 本文 40例 2型糖尿病合并肺结核患者全部作了常规胸部CT扫描及部分病灶局部区高分辨率CT(High -ResolutionCT ,简称 :HRCT) (HighRateCT简称HRCT) ,18例作了增强扫描 ,注射对比剂 10 0ml。结果 本组 40例共 75个肺段发现病变 ,CT影像以活动性病变占多 ,其中以实变为主 13例 (3 2 .5 % )、空洞 7例 (17.5 % )、结节和肿块 14例 (3 5 % )、斑片影 6例。 (15 % )。结论 影像表现的多样性 ,临床表现不典型是 2型糖尿病并发肺结核的特点。

Objective: To discuss CT appearance of pulmonary tuberculosis in diabetic patients. Methods: Reviewed CT scans of chest in 40diabetic patients with pulmonary tuberculosis including enhancement after intravenous injection 100ml of contrast material in 18patients. Results: CT imaging showed lesion in 86 lung segments,mainly active lesion as consolidation(32.5%),cavity(17.5%),opacity(15%),nodosity and mass(35%). Conclusion: It was characteristic of pulmonary tuberculosis in diabetic patients that atypical appearance of imaging and mainly polymorphism.