老年糖尿病合并肺结核与老年肺结核CT比较分析  

Comparison and analysis of CT manifestations between senile diabetes complicated with pulmonary tuberculosis and simple senile pulmonary tuberculosis

作　　者：许金卫 张鑫[1] XU Jin-wei;ZHANG Xin(the Fourth People’ s Hospital of Huai’ an,Huai’ an,Jiangsu 223000,China)

机构地区：[1]淮安市第四人民医院影像科,江苏淮安223000

出　　处：《临床肺科杂志》2018年第7期1179-1182,共4页Journal of Clinical Pulmonary Medicine

摘　　要：目的通过对老年人糖尿病合并肺结核与单纯性老年人肺结核CT表现的比较,观察老年人糖尿病并发肺结核的CT表现特征,以提高对本病的认知。方法随机选取老年人糖尿病合并肺结核80例为观察组,单纯性老年人肺结核患者80例为对照组,对两组患者的胸部CT表现进行比较分析。结果观察组患者病变发生于基底段、中叶、舌段较对照组多,分布范围较对照组广,厚壁空洞、干酪性肺炎、支气管播散均较对照组多,两组比较均具有统计学差异(P<0.05)。结论老年人糖尿病并发肺结核具有两肺病灶分布范围广,支气管播散多,厚壁空洞多,病情重,易形成干酪性肺炎等特征。Objective To observe the CT features of senile diabetes complicated with pulmonary tuberculosis by comparing the CT manifestations of senile diabetes complicated with pulmonary tuberculosis and simple senile pulmonary tuberculosis,in order to improve the diagnosis of CT. Methods 80 senile diabetes patients complicated with pulmonary tuberculosis were selected as the observation group,and 80 simple elderly tuberculosis patients were taken as the control group. Their chest CT performance was compared and analyzed. Results The patients with lesions in basal segment,middle and tongue period were much more in the observation group than in the control group,and the distribution range was larger in the observation group than in the control group. Thick wall hollow,caseous pneumonia,and endobronchial spread were higher in the observation group than in the control group（ P〈0. 05）. Conclusion Senile diabetes complicated with pulmonary tuberculosis have Two lung lesions distribution range,lots of endobronchial spread,lots of thick wall hollow,heavy illness,easy to form cheese pneumonia etc.

关 键 词：老年 肺结核 糖尿病 体层摄影术 X线计算机 

分 类 号：R521[医药卫生—内科学] R587.1[医药卫生—临床医学]