数字化X线摄影与CT对肺结核患者的诊断价值对比  

Comparison of Diagnostic Value of Digital X-ray and CT in Patients with Pulmonary Tuberculosis

作　　者：郭艳江 梁东海 胡善鹏 GUO Yanjiang;LIANG Donghai;HU Shanpeng(Imaging Department,Rizhao Tuberculosis Prevention and Control Institute,Rizhao,Shandong Province,276800 China;Imaging Department,Rizhao Central Hospital,Rizhao,Shandong Province,276800 China)

机构地区：[1]日照市结核病防治所影像科,山东日照276800 [2]日照市中心医院影像科,山东日照276800

出　　处：《世界复合医学》2023年第5期91-94,共4页World Journal of Complex Medicine

摘　　要：目的 探讨与对比数字化X线摄影(digital radiography,DR)与CT对肺结核患者的诊断价值。方法 选取2022年1—12月在日照市结核病防治所诊治的360例疑似活动性肺结核患者作为研究对象,所有患者都给予数字化X线摄影联合CT检查,记录影像学特征,以病原学检查结果为金标准,进行鉴别诊断价值分析。结果 数字化X线摄影联合CT检查的检出率为92.50%,明显高于数字化X线摄影(84.17%)和CT检查(89.72%),差异有统计学意义(P<0.05)。数字化X线摄影联合CT检查的准确性和灵敏度均高于数字化X线摄影和CT单独检测,差异有统计学意义(P<0.05),而3种诊断方式的特异性比较,差异无统计学意义(P>0.05)。CT检查的支气管病变、纵隔淋巴结肿大、树芽征、空洞征占比都明显高于数字化X线摄影检查,差异无统计学意义(P>0.05)。结论 相对于数字化X线摄影,CT在活动性肺结核鉴别诊断的应用可显示更多的特异性影像学特征,数字化X线摄影与CT检查的联合应用能提高对活动性肺结核的检出率,具有更好的诊断效果。Objective To explore and compare the diagnostic value of digital radiography(DR)and CT in patients with pulmonary tuberculosis.Methods From January to December 2022,360 patients with suspected active pulmonary tuberculosis were selected as the study objects.All patients were given digital radiography combined with CT examination to record imaging features,and the etiological examination results were used as the gold standard for differential diagnosis.Results The detection rate of digital X-ray examination combined with CT examination was 92.50%,which was significantly higher than that of digital X-ray examination(84.17%)and CT examination(89.72%),and the difference was statistically significant(P<0.05).The accuracy and sensitivity of digital radiography combined with CT were higher than those of digital radiography and CT alone,and the difference was statistically significant(P<0.05).There was no statistically significant in the comparison of the specificity of diagnostic methods in 3(P>0.05).The proportion of bronchial lesions,mediastinal lymph node enlargement,tree bud sign and cavity in CT examination was significantly higher than those in digital X-ray examination,and the difference was statistically significant(P<0.05).Conclusion Compared with digital radiography,the application of CT in the differential diagnosis of active pulmonary tuberculosis can show more specific imaging features,and the combined application of digital radiography and CT can improve the detection rate of active pulmonary tuberculosis,and has a better diagnostic effect.

关 键 词：数字化X线摄影 CT 活动性肺结核 鉴别诊断 检出率 纵隔淋巴结肿大 

分 类 号：R4[医药卫生—临床医学]