肺间质改变为主的继发性肺结核CT诊断价值与疗效评价  

Diagnosis value and efficacy evaluation of CT in secondary tuberculosis with pulmonary interstitial changes

作　　者：杨爱兰[1] 罗刚 Yang Ailan;Luo Gang(Department of Respiratory Medicine,the People's Hospital of Zhijiang City,Hubei Yichang 443200)

机构地区：[1]枝江市人民医院呼吸内科,湖北宜昌443200

出　　处：《中国社区医师》2021年第22期100-101,共2页Chinese Community Doctors

摘　　要：目的:评价以肺间质改变为主的继发性肺结核采用CT诊断的临床价值与疗效。方法:2018年10月-2020年10月收治以肺间质改变为主的继发性肺结核患者100例,所有患者均给予抗结核治疗。比较患者治疗前后病变区域的CT表现,评价抗结核治疗效果。结果:患者治疗后各个阶段原有的CT征象均发生了明显改变,治疗后3个月、6个月及结束时的各征象检出率均明显低于治疗前,差异有统计学意义(P<0.05)。结论:CT诊断用于以肺间质改变为主的继发性肺结核的准确率较高,可将病变区域特点更清晰、客观的显示出来,可用于抗结核治疗效果的动态性评估。Objective:To evaluate the clinical value and efficacy of CT in the diagnosis of secondary pulmonary tuberculosis with pulmonary interstitial changes.Methods:From October 2018 to October 2020,100 cases of secondary tuberculosis patients with the pulmonary interstitial changes were enrolled,all patients were given antituberculosis treatment.The CT findings of the lesion area before and after treatment was compared and the results of anti-tuberculosis treatment was evaluated.Results:The original CT features of all stages after treatment had changed significantly,the detection rate of each sign at 3 months,6 months and at the end of treatment were significantly lower than before treatment,the differences were statistically significant(P<0.05).Conclusion:CT diagnosis of secondary pulmonary tuberculosis with pulmonary interstitial changes has a higher accuracy rate,the characteristics of the lesion area can be displayed more clearly and objectively,which can be used for dynamic evaluation of the effect of anti-tuberculosis treatment.

关 键 词：肺间质改变 继发性肺结核 CT诊断 

分 类 号：R521[医药卫生—内科学]