87例糖尿病合并肺结核的CT诊断  

CT Diagnosis of Pulmonary Tuberculosis in Diabetes(with 87 Cases Report)

作　　者：吴瑜 李小山 

机构地区：[1]潍坊市第二人民医院放射科,山东潍坊261041

出　　处：《中国医药指南》2013年第29期302-303,共2页Guide of China Medicine

摘　　要：目的探讨糖尿病合并肺结核的影像学特点,以提高对糖尿病合并肺结核的影像学诊断水平。方法回顾性分析87例糖尿病合并肺结核患者的胸部CT表现。结果 87例糖尿病肺结核中,42例病变位于中叶、舌段及下叶基底段;65例主要表现为大片状实变影,69例出现空洞,其中空洞直径>3cm 50例,多发空洞者51例。结论糖尿病合并肺结核的CT表现具有一定特点,病变可出现中叶、舌段及下叶基底段,且病变可发生于多个叶段,表现为大片状实变影及较大、多发空洞者多见。Objective To improve the recognization of CT findings of pulmonary tuberculosis in diabetes. Methods CT data of 87 cases with pulmonary tuberculosis in diabetes were analyzed retrospectively. Results Out of 87 cases,42 cases appear the middle or tongue section and pulmonary lower lobe basal segment. 65 cases with lobar consolidation; 69 cases with cavity, and cavity larger than 3cm appeared in 50 cases, multi-cavitation appeared in 51 cases. Conclusion The imaging manifestations of pulmonary tuberculosis in diabetes have certain characterstics, pathology appears the middle or tongue section and pulmonary lower lobe basal segment, more cases show lobar consolidation and multi-cavitation.

关 键 词：糖尿病 肺结核 CT 

分 类 号：R587.1[医药卫生—内分泌] R521[医药卫生—内科学]