摘要
目的:提高对糖尿病合并肺结核在CT影像表现的认识。方法:搜集我院临床资料较为完整的糖尿病合并肺结核22例,详细分析其CT表现。结果:22例糖尿病合并肺结核的CT表现有:①病灶呈多肺段小叶融合影或大片状影(86.4%);②粟粒型肺结核(13.6%);③病灶呈多肺段分布(77.3%);④可发生一般结核少见部位(27.3%);⑤可见空洞(72.7%);⑥伴有胸腔积液(13.6%)、纤维条索或钙化灶(即卫星病灶)和结节影(27.2%)以及纵隔或肺门淋巴结肿大(13.6%)。经治疗大部分病例(63.6%)肺部病变逐渐吸收好转,部分病例(27.3%)未见明显吸收或出现进展,部分病例(9.1%)可出现反复。结论:据糖尿病合并肺结核由CT表现结合临床可做诊断。
Objective： To improve the recognization ofphthisical CT findings in diabetes. Methods： 22 cases pulmonary tuberculosis in diabetes, their CT findings were analyzed in details. Results： 22 cases Phthisical CT findings were： □ focus of infection displayed folial confluence of multi-segment or big lamellar （19/22, 86.4%） ; □ phthisis miliaris （3/22, 13.6%） ; □ focus of infection displayed multi-segment distribution （ 17/22, 77.3 % ） ; □ maybe to take place few vid location （6/22, 27.3 % ） ; □ cavitas （ 16/22, 72.7% ） ; □ to accompany with pleural effussion （3/22, 13.6% ） , fiber trabs or calcification （it was satellite）, nodus （6/22, 27.2%）, and mediastinal orhilar lymphadenectasis （3/22, 13.6% ） . After treatment, the pathological changes were absorbed gradually in majority cases （14/22, 63.6%）, without obvious absorption or aggravation in part cases （6/22, 27.3 % ）, pathogenetic condition showed up repeatedly in part cases （2/22, 9. 1% ） .Conclusion： On the basis of clinic and CT findings, pulmonary tuberculosis can be diagnosed in diabetes.
出处
《CT理论与应用研究（中英文）》
2006年第1期33-36,共4页
Computerized Tomography Theory and Applications
关键词
断层摄影术
X线计算机
肺结核
糖尿病
tomography
x-my computed
pulmonary tuberculosis
diabetes
