多层螺旋CT对老年性肺结核合并肺癌的诊断价值

目的：探讨应用多层螺旋CT对老年性肺结核合并肺癌患者进行鉴别诊断的临床价值。方法选取我院单纯老年肺结核患者、单纯老年周围性肺癌患者及老年肺结核合并肺癌患者各40例并分别分入Ⅰ、Ⅱ、Ⅲ组，分别给予常规平扫及强化扫描。记录并比较3组患者的CT常规扫描影像学特征及Ⅰ、Ⅱ组患者强化扫描所得数据。结果3组患者的常规扫描差异明显（P＜0.05)，合并肺癌后肺结核患者影像学表现发生较大变化，差异具有统计学意义（P＜0.05）；Ⅰ、Ⅱ组患者增强扫描差异有统计学意义（P＜0.05)。结论多层螺旋CT对于老年性肺结核合并肺癌患者的诊断具有极大的临床价值。

Diagnostic value of MDCT for patients of senile pulmonary tuberculosis with lung cancer

ObjectiveTo analyze the value of application of multislice CT to diagnosis of patients of senile pulmonary tuberculosis with lung cancer.Methods120 elderly patients were evenly divided into three groups: patients with pulmonary tuberculosis (Group One), patients with lung cancer (Group Two) and those with pulmonary tuberculosis accompanied by lung cancer (Group Three). All of them were given routine scan and enhanced scan. The routine CT scan imaging characteristics of the three groups and enhanced scan data of Group One and Two were recorded and compared.ResultsThere was significant difference in the results ofregular scanbetween the three groups (P<0.05). The imaging of patients with pulmonary tuberculosis changed considerably and the difference was of statistical significance (P<0.05). There was significant difference in the results of enhanced scan between Group One and Group Two (P<0.05).ConclusionMultislice CT is of significant clinical value for the diagnosis of patients with senile pulmonary tuberculosis accompanied by lung cancer.