糖尿病并发肺结核诊断中CT检查的应用价值分析
孙元春
（陕西省宝鸡市岐山县妇幼保健院影像科，陕西 宝鸡，722405）
浏览次数：93次 下载次数：460次
摘要：
目的 分析CT检查在糖尿病并发肺结核诊断中的应用价值。方法 回顾性分析2015年1月至2016年1月笔者所进修单位收治的90例糖尿病合并肺结核患者的临床资料，将其作为研究组；同时，选取本单位同期收治的54 例非糖尿病的肺结 核患者的临床资料，将其作为对照组；对比两组患者的CT表现征象与结核病变部位。结果 两组患者结核病变部位无显著差 异（P>0.05）；研究组的空洞形成率、干酪样病变率显著高于对照组，两组比较，差异有统计学意义（P<0.05）。结论 在糖尿病并发肺结核病诊断中，CT检查表现具有多样性，有利于进一步提升空洞形成、干酪样病变的检出率，值得在临床检查诊断工作中推广应用。
关键词：糖尿病；肺结核；诊断价值；CT
中图分类号：RR521；R587.1文献标志码：A文章编号：2096-1413(2017)08-0133-02
Application value of CT examination in the diagnosis of diabetes mellitus complicated with pulmonary tuberculosis
SUN Yuan-chun
（Department of Radiology, Maternal and Child Health Care Hospital of Qishan County, Baoji 722405, China）
ABSTRACT: Objective To analyze the application value of CT examination in the diagnosis of diabetes mellitus complicated with pulmonary tuberculosis. Methods The clinical data of 90 cases of patients with diabetes mellitus complicated with pulmonary tuberculosis admitted in the author's advanced units from January 2015 to January 2016 were retrospectively analyzed, which were chosen as the study group. The clinical date of 54 cases of tuberculosis patients without diabetes at the same period were chosen as the control group. The CT signs and tuberculous sites of the two groups were compared. Results There was no statistically significant difference on tuberculous sites of the two groups (P>0.05).
The team's hole formation rate and caseous lesion rate of the study group were higher than those of the control group, the differences were statistically significant (P <0.05). Conclusion CT examination in the diagnosis of diabetes mellitus complicated with pulmonary tuberculosis shows diversity, it can improve the detection rate of the void formation and caseous lesions, which is worth popularization and application in clinical examination.
KEYWORDS: diabetes mellitus; pulmonary tuberculosis; diagnostic value; CT
参考文献：
[1] 王存利,张志诚.CT检查在糖尿病并发肺结核病中的优势(附260例报告)[J].当代医学,2011,17(6):85-86.
[2] 张强,罗颖梅,曾乐飞,等.45例糖尿病合并肺结核的胸部X线及CT分析[J].中国CT 和MRI 杂志,2012,10(1):38-39.
[3] 陈植荣.CT检查在糖尿病并发肺结核病中的诊断价值[J].中外医学研究,2012,10(31):51-52.
[4] 罗书荣.86例糖尿病合并肺结核的CT诊断分析[J].北方药学,2012,9(12):53-54.
[5] 杜红娟.CT检查在糖尿病合并肺结核病中的诊断价值[J].糖尿病新世界,2015,35(4):75.
[6] 陈峰.糖尿病合并肺结核的胸部X线及CT临床诊断分析[J].糖尿病新世界,2015,35(9):92-93.
[7] 王俊锦.CT检查在糖尿病并发肺结核病中的诊断价值研究[J]. 糖尿病新世界,2015,35(11):135.
[8] 刘凡明.CT对糖尿病并发肺结核的诊断价值分析[J].实用糖尿病杂志,2016,12(3):45-46.