痰菌阴性肺结核患者肺段特征分析  

Analysis of pulmonary segment characteristics in patients with sputum negative pulmonary tuberculosis

作　　者：张桂芳 樊文浩 牛蕾 张静[1] ZHANG Guifang;FAN Wenhao;NIU Lei;ZHANG Jing(Clinical Laboratory,Binzhou Central Hospital,Binzhou,Shandong 251700,China)

机构地区：[1]滨州市中心医院检验科,山东滨州251700

出　　处：《医药前沿》2023年第20期42-45,共4页Journal of Frontiers of Medicine

摘　　要：目的:比较计算机断层扫描(CT)中同一个肺段在菌阴性肺结核、菌阳性肺结核、非结核性肺部疾病患者的累积频数,以提高菌阴性肺结核患者的检出率。方法:选取2019年1月—2020年9月在滨州市中心医院结核科、呼吸科、肿瘤科住院的481例患者,将其分为痰菌阳性肺结核组(菌阳组,179例)、痰菌阴性肺结核组(菌阴组,185例)、非结核性肺部疾病组(117例)。患者均进行痰涂片抗酸染色、痰结核分枝杆菌培养及肺部CT检查,比较各组间同一肺段的累积频数。结果:菌阳组患者累积于右肺后段、前段、中叶内侧段、中叶外侧段、背段、内基底段、前基底段和左肺的尖后段、前段、舌叶上段、舌叶下段、背段、前内基底段、外基底段、后基底段的频数较菌阴组多,差异有统计学意义(P<0.05);菌阳组与菌阴组在右肺尖段、外基底段、后基底段的累积频数比较,差异无统计学意义(P>0.05)。菌阴组患者累积于右肺尖段、后段、前段和左肺尖后段、前段、背段的频数较非结核肺部疾病组多,差异有统计学意义(P<0.05);两组其余各肺段比较差异无统计学意义(P>0.05)。结论:菌阴性肺结核患者疾病累积于右肺尖段、后段、前段和左肺尖后段、前段、背段的频数与非结核肺部疾病患者存在一定差异,有助于鉴别结核和非结核疾病及提高临床诊断菌阴性肺结核的准确率,降低漏诊率。Objective To compare the cumulative frequency of the same lung segment in the patients with bacterial-negative pulmonary tuberculosis,bacterial-positive pulmonary tuberculosis and non-tuberculous pulmonary diseases in computed tomography(CT),so as to improve the detection rate of bacterial-negative pulmonary tuberculosis patients.Methods A total of 481 patients admitted to Binzhou Central Hospital from January 2019 to September 2020 in the departments of tuberculosis,respiratory,and oncology were selected and divided into sputum positive pulmonary tuberculosis group(positive group,179 cases),sputum negative pulmonary tuberculosis group(negative group,185 cases),and non-tuberculous lung disease group(117 cases).Sputum smear acid-fast staining,mycobacterium tuberculosis culture of sputum and lung CT examination were performed in all patients,and the cumulative frequency of the same lung segment among all groups was compared.Results The frequency of accumulation in posterior segment,anterior segment,medial segment of middle lobe,lateral segment of middle lobe,dorsal segment,inner basal segment,anterior basal segment and posterior apical segment,anterior segment,upper lobe of tongue,lower lobe of tongue,dorsal segment,anterior inner basal segment,outer basal segment and posterior basal segment of right lung in positive group were higher than those in negative group,with statistical significance(P<0.05).There was no significant difference in the cumulative frequency of right apical segment,outer basal segment and posterior basal segment between the positive group and negative group(P>0.05).The frequency of accumulation in the right apical segment,posterior segment,anterior segment,and left apical posterior segment,anterior segment,and dorsal segment of the negative group were more than those in the non-tuberculous lung disease group,and the difference was statistically significant(P<0.05).There was no significant difference in other lung segments between the two groups(P>0.05).Conclusions The frequency of disease accu

关 键 词：痰菌阴性肺结核 同一肺段 累积频数 检出率 

分 类 号：R521[医药卫生—内科学]