非结核分枝杆菌(NTM)肺病与继发性肺结核的多层螺旋CT征像的比较分析  

Comparative Analysis of Multislice Computed Tomography(CT)Images in Nontuberculous Mycobacterial(NTM)Lung Disease and Secondary Tuberculosis

作　　者：王青松 WANG Qing-song(Department of Radiology of Shangqiu municipal hospital,Shangqiu 476100,Henan Province,China)

机构地区：[1]河南省商丘市立医院放射科,河南商丘476100

出　　处：《罕少疾病杂志》2023年第4期42-43,共2页Journal of Rare and Uncommon Diseases

摘　　要：目的比较分析继发性肺结核与非结核分枝杆菌(NTM)肺病的多层螺旋CT征像。方法纳入NTM肺部患者40例为研究组,另选取继发性肺结核患者40例为对照组,将两组的病灶部位、性质、形态及分布。结果在病灶分布方面,研究组累及1个肺叶少于对照组,累及≥3个肺叶多于对照组,P<0.05;在病灶部位方面,研究组好发中叶或舌段患者多于对照组,P<0.05;在CT征象方面,研究组钙化、磨玻璃影、胸腔积液、肿大淋巴结、支气管播散的发生率均低于对照组,支气管扩张的发生率高于对照组,P<0.05。结论NTM肺部的胸部CT表现分布广泛,主要分布在右中叶和左肺舌,两个肺散布在柱状扩张支气管中,胸膜下薄壁腔及周围腔,并伴有柱状支气管扩张,肺气肿和大疱共同特征。Objective to comparatively analyze the multislice CT images of secondary pulmonary tuberculosis with non tuberculous mycobacteria(NTM)lung disease.Methods 40 NTM lung patients were enrolled as the study group,while 40 secondary tuberculosis patients were selected as the control group,and the location,nature,morphology and distribution of the lesions in the two groups were determined.Results in terms of lesion distribution,the study group had less than one lobe involved and more than three lobes involved than the control group,P<0.05;in terms of lesion location,the study group had more patients with middle lobe or tongue involvement than the control group,P<0.05;in terms of CT signs,the study group had a lower incidence of calcification,glass opacity,pleural effusion,enlarged lymph nodes,and bronchial dissemination than the control group did The incidence of tube dilatation was higher in cases than in controls,P<0.05.Conclusions Chest CT findings in NTM lungs are widely distributed,mainly in the right middle lobe and lingula of the left lung,with both lungs scattered in columnar bronchiectasis,subpleural thin-walled and surrounding cavities,and are accompanied by common features of columnar bronchiectasis,emphysema and bullae.

关 键 词：肺结核 X线计算机 体层摄影术 非结核分枝杆菌 

分 类 号：R521[医药卫生—内科学]