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目的:研究糖尿病合并肺结核患者的影像学表现。方法:我院选择2012年5月~2013年5月间诊治的178例糖尿病合并肺结核的患者,对其实施影像学检查。结果:通过对所选的患者实施影像学检查发现,108例患者病灶呈多叶段分布,占60.67%;170例患者肺段性分布,占95.51%;58例患者的病灶相对少见,占32.58%;114例患者病灶形态以大片状为主,占64.04%;116例有空洞,占65.17%;56例病变呈树芽征,占31.46%;血糖值低于11.1mmol/L和超过11.1mmol/L的糖尿病患者合并肺结核患者的多叶段、空洞、树牙状腺泡的影像学表现差异显著,有统计学意义(P<0.05);年龄低于60岁和超过60岁的糖尿病合并肺结核患者的多叶段、空洞、树牙状腺泡的影像学表现差异显著,有统计学意义(P<0.05)。结论:糖尿病合并肺结核患者的影像学表现与一般肺结核表现差异主要在病灶分布和形态上,同时受到血糖值、年龄的影响,应紧密结合临床信息,进行综合判断。
Objective: To study the imaging findings of diabetic patients with pulmonary tuberculosis. Methods: 178 cases of patients with diabetes mellitus complicated with pulmonary tuberculosis who were diagnosed and treated between May 2012 and May 2013 in our hospital were selected for imaging examination. Results: According to the imaging examination of the selected patients, the lesions of 108 patients showed a multi-lobe distribution, accounting for 60.67%; the distribution of pulmonary segments in 170 patients was 95.51%; the lesions of 58 patients were relatively rare (32.58%) %; 114 cases of lesions mainly in large flakes, accounting for 64.04%; 116 cases were empty, accounting for 65.17%; 56 lesions showed sprout, accounting for 31.46%; blood glucose values below 11.1mmol / L and over 11.1 (P <0.05). There was significant difference in the imaging findings of multi-leaf segments, empty and tree-shaped acini in patients with diabetes mellitus and pulmonary tuberculosis (P <0.05). Diabetes with age below 60 and over 60 Pulmonary tuberculosis patients with multi-leaf segments, empty, alveolar acinar showed significant difference in imaging, with statistical significance (P <0.05). Conclusion: The difference between the imaging manifestations and general tuberculosis manifestations in patients with diabetes mellitus and pulmonary tuberculosis is mainly on the distribution and morphology of the lesions. At the same time, they are affected by the blood sugar level and age. Clinical information should be combined closely to make a comprehensive judgment.