超声与CT技术在高原地区藏族人群肺结核疾病诊断价值的比较研究  

Comparative research of diagnostic values of ultrasound and CT techniques in pulmonary tuberculosis of Tibetan population in plateau region

作　　者：张文[1] 刘晓宇[1] 温智峰[1] 刘有云[1] 冶骏 王琰 叶俊[1] Zhang Wen;Liu Xiaoyu;Wen Zhifeng;Liu Youyun;Yejun;Wang Yan;Ye Jun(Department of Ultrasound Medicine,Qinghai Provincial Hospital of Traditional Chinese Medicine,Xining 810000,China)

机构地区：[1]青海省中医院超声医学科,西宁810000

出　　处：《中国医学装备》2024年第7期92-95,共4页China Medical Equipment

基　　金：青海省卫健委科研项目(2021 wjzdx-100)。

摘　　要：目的:比较研究高原地区藏族人群肺结核患者超声与CT影像特点及诊断价值。方法:选择2022年5月至2023年11月青海省中医院收治的100例高原地区藏族人群肺结核患者,所有患者均行超声与CT检查,动态观察高原地区肺结核患者肺部病变的超声影像学特点,比较超声与CT检查对高原地区藏族人群肺结核的诊断效果。结果:超声与CT检查高原地区藏族人群肺结核的阳性检出率比较,差异无统计学意义(χ^(2)=0.053,P>0.05)。超声诊断的灵敏度为97.80%、特异度为44.44%、约登指数42.24%,CT诊断的灵敏度为96.77%、特异度为42.86%、约登指数39.63%,差异无统计学意义(χ^(2)=0.184,0.004,0.272,P>0.05)。超声与CT检查高原地区藏族人群肺结核病变肺叶分布检出率比较,差异无统计学意义(χ^(2)=2.011,P>0.05)。超声与CT检查对高原地区藏族人群肺结核患者肺不张、空洞、钙化、伴随胸水的检出率比较,差异无统计学意义(χ^(2)=0.190,0.197,0.190,0.046,P>0.05)。结论:超声检查的阳性检出率、病变肺叶分布检出率和肺不张、空洞、钙化、伴随胸水等肺结核并发或伴随征象检出率均与CT检查无差异,而高原地区医疗资源匮乏,缺少大型检查设备,应用超声检查进行肺结核普查及初步诊断,对缺少CT设备或受电力影响的高原地区更适合。Objective:To explore the comparison of imaging characteristics and diagnostic value between ultrasound and CT in patients with pulmonary tuberculosis in Tibetan population in plateau region.Methods:From May 2022 to November 2023,a total of 100 patients with pulmonary tuberculosis of Tibetan population in plateau region,who admitted to Qinghai Provincial Hospital of Traditional Chinese Medicine,were selected as the study objects.All of them were examined by ultrasound and CT.The ultrasonic imaging characteristics of the lesions of patients with pulmonary tuberculosis in plateau region were dynamically observed.And then,the diagnostic effects of ultrasound and CT on pulmonary tuberculosis in the Tibetan population in the plateau region were compared.Results:There was no significant difference in the positive rate of pulmonary tuberculosis in Tibetan population of plateau region between ultrasound and CT examinations(χ^(2)=0.421,P>0.05).The diagnostic sensitivity,diagnostic specificity and Yoden index of ultrasound diagnosis were respectively 97.80%,44.44%and 42.24%,and these of CT diagnosis were respectively 96.77%,42.86%and 39.63%,and the differences were not significant(χ^(2)=0.184,0.004,0.272,P>0.05),respectively.There was no significant difference in detection rate of the distribution of pulmonary tuberculosis lesions in Tibetan population in plateau region between ultrasound and CT examinations(χ^(2)=2.011,P>0.05).There were no significant differences in the detection rates of atelectasis,cavity,calcification and accompany of pleural effusion between ultrasound and CT examinations in patients with pulmonary tuberculosis in Tibetan population in plateau region(χ^(2)=0.190,0.197,0.190,0.046,P>0.05).Conclusion:There are no significant differences in positive detection rate,the detection rate of the distribution of diseased lung lobes,the detection rates of the complication of pulmonary tuberculosis or associated signs such as atelectasis,cavity,calcification and accompany of pleural effusion between ultrasoun

关 键 词：高原地区 藏族人群 肺结核 超声 计算机体层成像 诊断 

分 类 号：R521[医药卫生—内科学]