2型糖尿病合并肺结核感染患者的CT影像特征分析

CT Imaging Features of Type 2 Diabetes Mellitus Patients with Pulmonary Tuberculosis Infection

目的研究分析2型糖尿病合并肺结核感染患者的CT影像特征。方法选择2014年2月至2018年2月期间在本院接受诊治的2型糖尿病合并肺结核感染患者共40例作为观察组研究资料,依据糖尿病病程长短再分为A组和B组,另选择同时间段本院收治的肺结核感染且非2型糖尿病患者作为对照组,共40例,均进行CT影像检查,结合患者基本资料进行详细分析。结果观察组CT影像学特征中双侧、所有肺叶及淋巴结肿大均显著高于对照组,P<0.05。A组与B组CT影像学特征比较均无显著性差异,P>0.05。结论 2型糖尿病合并肺结核感染患者的CT影像特征表现出双侧肺部病变、累及所有肺叶,且淋巴结肿大,可依据该特征进行诊治,并鉴别未合并2型糖尿病的肺结核感染,且糖尿病病程长短对肺结核感染CT无明显影响。

Objective To study and analyze the CT imaging features of type 2 diabetes mellitus patients with pulmonary tuberculosis infection. Methods 40 patients with type 2 diabetes mellitus complicated with tuberculosis infection who were treated in our hospital from February 2014 to February 2018 were divided into group A and group B according to the duration of diabetes mellitus. Another 40 patients with tuberculosis infection and non-type 2 diabetes mellitus who were admitted to our hospital at the same time were selected as control group. All cases were examined by CT images, and the basic data of the patients were analyzed in detail. Results The bilateral, all lobes and lymph nodes enlargement in the observation group were significantly higher than those in the control group, P<0.05.There was no significant difference in CT imaging characteristics between group A and group B ,P>0.05. Conclusion CT imaging features of type 2 diabetes mellitus patients with pulmonary tuberculosis infection show bilateral lung lesions, involving all lung lobes, and lymph node enlargement. Diagnosis and treatment can be made according to this feature, and tuberculosis infection without type 2 diabetes mellitus can be identified.The duration of diabetes mellitus has no significant impact on CT of pulmonary tuberculosis infection.