糖尿病并发肺结核诊断中CT检查的效果及临床意义分析

Analysis of the Effect and Clinical Significance of CT Examination in the Diagnosis of Diabetes Mellitus Complicated with Tuberculosis

目的:探讨糖尿病并发肺结核诊断中CT检查的效果及临床意义。方法:选取2017年9月-2018年9月笔者所在医院收治的肺结核患者65例作为对照组,同时选取笔者所在医院收治的糖尿病并发肺结核患者65例作为研究组,两组均采用CT进行检查。比较两组病灶形态、病灶位置、病变部位、范围、累及情况,分析研究组病灶情况。结果:研究组渗出形态、实变形态较多,病灶位置分布较为广泛。两组病灶形态、病灶位置比较,差异均有统计学意义(P<0.05)。研究组病灶多为大片和块状影、多发性空洞、虫噬状无壁空洞,与其他病灶形态比较,差异均有统计学意义(P<0.05)。研究组肺前部和下叶基底段、两叶或两叶以上、双肺均受累均高于对照组(P<0.05)。研究组上叶尖后段和下叶背段与对照组比较,差异无统计学意义(P>0.05)。结论:在糖尿病并发肺结核诊断中,CT诊断结果较为特殊,准确掌握肺部CT影像结果、方法,可以为早期诊断糖尿病并发肺结核及后续治疗提供一定的基础与线索。

Objective:To investigate the effect of CT examination in the diagnosis of diabetes mellitus complicated with tuberculosis and its clinical significance.Method:A total of 65 patients with tuberculosis admitted to our hospital from September 2017 to September 2018 were selected as the control group,and 65 patients with diabetes mellitus complicated with tuberculosis in our hospital were selected as the study group.Both groups were examined by CT.Compared the focal shape and focal location,location,extent and involvement of the focals of the two groups,and analyze the focals of the study group.Result:In the study group,there were many exudation and consolidation shapes,and the location of focals were widely distributed.The shape and location of the focals were compared between the two groups,and the differences were statistically significant(P<0.05).Most of the focals in the study group were large and massive shadows,multiplecavities,wormlike phagocytic wall-free cavities,and compared with other focals shape,the differences were statistically significant(P<0.05).In the study group,anterior and basal segments of lower lobe of the lung,bilateral lobes or more,bilateral lungs were involved higher than those of the control group(P<0.05).Compared with the control group,the posterior segment of the upper lobe tip and the dorsal segment of the lower lobe of the study group,and the difference was not statistically significant(P>0.05).Conclusion:In the diagnosis of diabetes mellitus complicated with tuberculosis,CT diagnosis results are special.Accurate grasp of CT imaging results and methods can provide certain basis and clues for early diagnosis of diabetes mellitus complicated with tuberculosis and follow-up treatment.