新发与复发活动性及陈旧性肺结核影像学征象对比分析  

作　　者：施小珍[1] 

机构地区：[1]中国人民大学医院放射科,北京100872

出　　处：《中国药业》2021年第S01期69-70,共2页China Pharmaceuticals

摘　　要：目的对比新发、复发活动性及陈旧性肺结核的影像学表现。方法回顾性分析医院2013年1月至2020年7月收治的活动性肺结核患者150例。按发病次数分为A组(新发肺结核)、B组(复发活动性肺结核)和C组(陈旧性肺结核),各50例。分析并比较影像学资料。结果非活动性影像学征象结果显示,B组钙化检出率为72.00%,纤维条索影检出率为52.00%,支气管扩张检出率为38.00%,肺气肿检出率为38.00%,C组上述指标分别为78.00%,84.00%,44.00%,80.00%,均显著高于A组的12.00%,8.00%,8.00%,6.00%(P<0.05);B组纤维条索影检出率为52.00%,肺气肿检出率为38.00%,显著低于C组的84.00%,80.00%(P<0.05);活动性影像学征象结果显示,A组空洞征检出率为40.00%,磨玻璃影检出率为72.00%,亚段以上实变检出率为36.00%,小叶样实变检出率为66.00%,树芽征检出率为60.00%,小叶中心结节影检出率为80.00%,B组上述指标分别为38.00%,66.00%,34.00%,58.00%,58.00%,72.00%,均显著高于C组的4.00%,30.00%,4.00%,18.00%,16.00%,20.00%(P<0.05)。结论以活动性影像学征象诊断活动性肺结核效果较好,但仍需与临床及实验室检查联合诊断。Objective To compare the imaging findings of new,recurrent active and old pulmonary tuberculosis.Methods A total of 150 patients with active pulmonary tuberculosis treated in the hospital from January 2013 to July 2020 were analyzed retrospectively.They were divided into group A(new pulmonary tuberculosis),group B(recurrent active pulmonary tuberculosis)and group C(old pulmonary tuberculosis),50 cases in each group.The imaging data were analyzed and compared.Results The results of inactive imaging signs showed that the detection rates of calcification,fibrous strip shadow,bronchiectasis and emphysema in group B were 72.00%,52.00%,38.00%and 38.00%,respectively,and the above indexes in group C were 78.00%,84.00%,44.00%and 80.00%,which were significantly higher than 12.00%,8.00%,8.00%and 6.00%in group A(P<0.05).The detection rates of fibrous cord shadow and emphysema in group B were 52.00%and 38.00%,which were significantly lower than 84.00%and 80.00%in group C(P<0.05).The results of active imaging signs showed that the detection rate of cavity sign was 40.00%,ground glass shadow was 72.00%,consolidation above sub segment was 36.00%,lobular consolidation was 66.00%,tree bud sign was 60.00%,and nodule shadow in the center of lobule was 80.00%in group A,and the above indexes in group B were 38.00%,66.00%,34.00%,58.00%,58.00%and 72.00%respectively,which were significantly higher than 4.00%,30.00%,4.00%,18.00%,16.00%,20.00%in group C(P<0.05).Conclusion Active imaging signs are effective in the diagnosis of active pulmonary tuberculosis,but it still needs to be combined with clinical and laboratory examination.

关 键 词：影像学表现 新发肺结核 复发肺结核 陈旧性肺结核 

分 类 号：R445[医药卫生—影像医学与核医学]