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目的探讨肺结核合并糖尿病的影像表现特点,以提高诊断水平。方法收集65例肺结核合并糖尿病及65例单纯肺结核患者资料,综合分析其影像学特征。结果糖尿病组与对照组相比,病灶累及双侧中上肺野33例(50.77%),对照组20例(30.77%);其中以大片状及块状影为主要表现者糖尿病组46例(70.77%),对照组12例(18.46%);单发空洞糖尿病组28例(43.08%),对照组9例(13.85%);差异均具有统计学意义(P<0.05)。结论糖尿病合并肺结核的影像学表现在病灶的分布、形态及动态变化都有其特点,有效的血糖控制有助于得到显著的治疗效果。
Objective To investigate the imaging features of pulmonary tuberculosis complicated with diabetes in order to improve the diagnostic level. Methods The data of 65 patients with pulmonary tuberculosis complicated with diabetes and 65 patients with simple pulmonary tuberculosis were collected and their imaging features were analyzed comprehensively. Results Compared with the control group, 33 cases (50.77%) had bilateral lesions in the diabetic group and 20 cases (30.77%) in the control group, 46 cases in the diabetes mellitus group (70.77%) in the control group, 12 cases (18.46%) in the control group, 28 cases (43.08%) in the control group and 9 cases (13.85%) in the control group. The difference was statistically significant (P <0.05). Conclusion The imaging manifestations of diabetic patients with pulmonary tuberculosis have their own characteristics in the distribution, morphology and dynamic changes of the lesions. Effective blood sugar control helps to obtain significant therapeutic effect.