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| 肺结核合并2型糖尿病的影像学表现 | |
| 引用本文： | 张颖,方方,方伟军,张晖,华蓉.肺结核合并2型糖尿病的影像学表现[J].现代医用影像学,2008,17(5). |
| 作者姓名： | 张颖 方方 方伟军 张晖 华蓉 |
| 作者单位： | 1. 广东省中医院放射科 2. 乌鲁木齐市职业大学 3. 广州市胸科医院放射科 |
| 摘 要： | 目的:探讨合并2型糖尿病肺结核的影像学表现及评价X线、CT检查对本病的诊断价值.材料与方法:回顾性分析335例,其中男208例,女127例,年龄28～96岁.本组155例痰菌涂片抗酸杆菌阳性,其余病例经临床症状,实验室检查以及抗结核治疗后,影像复查病灶吸收或消失综合诊断确诊.结果:本病的影像学表现有以下特点:(1)病情较严重,病灶进展快,分布范围广,以多叶受累,两侧蔓延,且以干酪性病灶为主要表现:(2)并存多发小空洞,2型糖尿病肺结核的实变区内多发性小空洞比例较高,为未合并2型糖尿病肺结核病人的一倍以上;(3)空洞内液平面出现率高:本组患者空洞内有液平面出现约占40.1%;(4)发病部位不典型,本组病例发生于上叶前段,中叶,舌叶者101例,占30.1%,这些部位的肺结核较少见;(5)结节、肿块状阴影,经CT增强扫描后,该结节及肿块病灶均显示边缘强化状态.结论:X线、CT检查对合并2型糖尿病肺结核的诊断以及明确病灶范围具有重要的价值,以CT更具优势. |
| 关 键 词： | 结核 肺 糖尿病 X线 CT诊断 |
Image Characteristics of Pulmonary Tuberculosis with Diabetes Mellitus |
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| Zhang Ying Fang Weijun Zhang Hui.Image Characteristics of Pulmonary Tuberculosis with Diabetes Mellitus[J].Modern Medical Imagelogy,2008,17(5). | |
| Authors: | Zhang Ying Fang Weijun Zhang Hui |
| Institution: | Zhang Ying Fang Weijun Zhang Hui 1 Department of Radiology,Guangdong Province TCM Hospital,Guangzhou 510120 2 Urumqi Vocational University,Xinjiang Uygur Autonomous Region,830001 3 Department of Radiology,Guangzhou Chest Hospital 510095 |
| Abstract: | Purpose:To investigate image characteristics of pulmonary tuberculosis with diabetes mellitus,and to evaluate the value of X-ray and CT.Materials and Methods:The X-ray and CT findings of pulmonary tuberculosis with diabetes mellitus in 335 cases was ana- lyzed rtetopectively,of which 155 patients were diagnosed definitely by finding bacilli in sputum,the others patients were diagnosed definitely by incisional or excisional biopsy or by cured after getting general antituberculosis chemotherapy for one year.o... |
| Keywords: | Tuberculosis Pulmonary Diabetes mellitus X-ray/CT computed |
| 本文献已被 CNKI 维普 万方数据 等数据库收录！ | |