评价糖尿病合并肺结核患者肺部CT的影像诊断结果

To Analysis of Lung CT Image Characteristics of Diabetes Combined with Pulmonary Tuberculosis

目的分析糖尿病合并肺结核患者肺部CT的影像学特征,为糖尿病合并肺结核患者的临床诊断提供影像学依据。方法随机选取我院自2012年3月至2016年3月间收治的110例糖尿病合并肺结核患者的临床资料进行回顾性分析,观察患者的肺部CT影像学特征,并与同期的普通肺结核患者的肺部CT影像进行对比分析,总结糖尿病合并肺结核患者肺部CT特征。结果观察组110例患者共有232个肺段发现伴有结核性病变,其中肺结核好发部位占71.6%(166例),呈现多肺段病变特点,与对照组比较存在差异(P<0.05);病变呈大面积者占75.5%(83例),点状分布或仅部分融合者占24.5%,合并有空洞者占51.8%(57例),伴肿块或结节者占37.3%(41例),与对照组比较存在差异(P<0.05)。结论糖尿病合并肺结核患者肺部CT影像具有一定特征,与普通肺结核患者比较,其病情相对较重,多呈现多肺段病变,可呈片状或大面积分布,多伴有空洞、肿块、结节等病变情况。

Objective To analysis of lung CT image characteristics of diabetes combined with pulmonary tuberculosis to provide the imaging basis for clinical diagnosis of the disease. Methods The clinical data of 110 patients with diabetic amalgamative tuberculosis were retrospectively analyzed which were selected from our hospital from March 2012 to March 2016 randomly. We would observe the patient's lung CT imaging characteristics, and compared with the ordinary pulmonary tuberculosis patients for exploring the diabetic patients with pulmonary tuberculosis CT features. Result 110 cases of patients with a total of 232 lung segment were found lesions associated with tuberculosis in the observing group, and the tuberculosis good hair parts accounted for 71.6%(166 cases), rendering more lung pathological feature, and there had a difference compared with the control group(P<0.05); Pathological changes in large area accounted for 75.5%(83 cases); dot scope or only partially fused had accounting for 24.5%, and it was with empty accounted for 51.8%(57 cases), associating with masses or nodules accounted for 37.3%(41 cases), and it exist ed differences compared with control group(P<0.05). Conclusion The CT image of diabetic patients with pulmonary tuberculosis has certain characteristics comparing with ordinary TB, and the condition is relatively heavy which are more present lung lesions, plating shaped or large area distribution, combining by more empty, lumps and nodule lesions.