肺结核合并肺癌的CT影像学特征及诊断价值的评价

Evaluation of CT Imaging Features and Diagnostic Value of Pulmonary Tuberculosis with Lung Cancer

目的:研究CT影像学特征对肺结核合并肺癌患者的诊断价值。方法:研究时段为2013年1月~2017年12月,选择本院接收的110例肺结核合并肺癌患者为观察组,择取同期单纯肺结核患者110例为对照组,比较两组临床表现及CT影像学特征。结果:两组反复咳嗽、痰中带血、颈部淋巴结肿大及胸闷的临床症状无统计学意义,P>0.05;与对照组比较,观察组分叶征发现率、毛刺征发现率、空泡征发现率与胸膜凹陷征发现率高,P<0.05。结论:CT影像学检查能早期确诊肺结核合并肺癌患者的病情,提高疾病确诊率且为临床医师提供参考依据。

Objective:To study the diagnostic value of CT imaging features in patients with tuberculosis and lung cancer.Methods:From January 2013 to December 2017,110 patients with tuberculosis and lung cancer were selected as the observation group,and 110 patients with simple tuberculosis during the same period were selected as the control group.The clinical manifestations and CT imaging characteristics of the two groups were compared.Results:The clinical symptoms of recurrent cough,blood in sputum,cervical lymphadenopathy,and chest tightness were not statistically significant in the two groups,P>0.05;Compared with the control group,the discovery rate of leaf sign,burr sign,vacuole sign and pleural depression sign were higher in the observation group,P<0.05.Conclusion:CT imaging can diagnose the condition of pulmonary tuberculosis patients with lung cancer early,improve the diagnosis rate of the disease and provide reference for clinicians.