摘要
目的 探究影像科尘肺合并肺结核患者高分辨率CT特征及其鉴别诊断价值。方法 回顾性分析2017年1月至2019年1月本院收治的170例尘肺患者的临床资料,患者均行高分辨率CT检查,评估高分辨率CT在尘肺合并肺结核患者中的鉴别诊断及其分期诊断中的价值。结果 高分辨率CT诊断尘肺合并肺结核的灵敏度、特异度、准确度分别为91.18%、87.25%、88.82%,高分辨率CT诊断尘肺合并肺结核的临床分期与病理结果的总体符合率为94.12%(64/68),高分辨率CT诊断尘肺合并肺结核的特征形态多样,多呈结节状、“团块”状、“空洞”状以及胸膜炎等。结论 影像科尘肺合并肺结核患者高分辨率CT征象有典型特征,高分辨率CT在尘肺合并肺结核患者鉴别诊断中有较高的灵敏度、准确度,且对尘肺合并肺结核患者临床分期的诊断符合率高。
Objective To investigate the high-resolution CT features of patients with pneumoconiosis complicated with pulmonary tuberculosis and their value in differential diagnosis. Methods The clinical data of 170 patients with pneumoconiosis who were admitted to the hospital from January to September 2019 were retrospectively analyzed. All patients underwent high-resolution CT examination. The value of high-resolution CT in differential diagnosis of patients with pneumoconiosis complicated with pulmonary tuberculosis and staging was evaluated. Results The sensitivity, specificity and accuracy of high-resolution CT for diagnosis of pneumoconiosis with pulmonary tuberculosis were 91.18%,87.25% and 88.82%, respectively. The overall coincidence rate of clinical stage of pneumoconiosis with pulmonary tuberculosis diagnosed by high-resolution CT and pathological results was 94.12%(64/68). High-resolution CT features of pneumoconiosis with pulmonary tuberculosis included varied shapes most of which were nodular, mass and hollow and pleurisy. Conclusion The high-resolution CT signs of patients with pneumoconiosis complicated with pulmonary tuberculosis are typical. The sensitivity and accuracy of high-resolution CT are high in the differential diagnosis of pneumoconiosis with pulmonary tuberculosis, and the coincidence rate in clinical staging of pneumoconiosis with pulmonary tuberculosis is high.
作者
杨洁
冀瑞烨
张玉祥
YANG Jie;JI Rui-ye;ZHANG Yu-xiang(Department of Imaging,General Hospital of Jizhong Energy Fengfeng Group Co.,Ltd.Handan 056000,Hebei Provicne,China;Department of Ultrasound,General Hospital of Jizhong Energy Fengfeng Group Co.,Ltd.Handan 056000,Hebei Province,China)
出处
《中国CT和MRI杂志》
2022年第5期108-109,115,共3页
Chinese Journal of CT and MRI
关键词
尘肺
肺结核
高分辨率CT
鉴别诊断
Pneumoconiosis
Pulmonary Tuberculosis
High-Resolution CT
Differential Diagnosis
