摘要:
目的: 提高对糖尿病合并肺结核在CT影像表现的认识。方法: 搜集我院临床资料较为完整的糖尿病合并肺结核22例,详细分析其CT表现。结果: 22例糖尿病合并肺结核的CT表现有:①病灶呈多肺段小叶融合影或大片状影(86.4%);②粟粒型肺结核(13.6%);③病灶呈多肺段分布(77.3%);④可发生一般结核少见部位(27.3%);⑤可见空洞(72.7%);⑥伴有胸腔积液(13.6%)、纤维条索或钙化灶(即卫星病灶)和结节影(27.2%)以及纵隔或肺门淋巴结肿大(13.6%)。经治疗大部分病例(63.6%)肺部病变逐渐吸收好转,部分病例(27.3%)未见明显吸收或出现进展,部分病例(9.1%)可出现反复。结论: 据糖尿病合并肺结核由CT表现结合临床可做诊断。
Abstract:
Objective : To improve the recognization of phthisical CT findings in diabetes. Methods : 22 cases pulmonary tuberculosis in diabetes,their CT findings were analyzed in details. Results : 22 cases Phthisical CT findings were:① focus of infection displayed folial confluence of multi-segment or big lamellar(19/22,86.4%);② phthisis miliaris(3/22,13.6%);③ focus of infection displayed multi-segment distribution(17/22,77.3%);④ maybe to take place few vid location(6/22,27.3%);⑤ cavitas(16/22,72.7%);⑥ to accompany with pleural effussion(3/22,13.6%),fiber trabs or calcification(it was satellite),nodus(6/22,27.2%),and mediastinal or hilar lymphadenectasis(3/22,13.6%).After treatment,the pathological changes were absorbed gradually in majority cases(14/22,63.6%),without obvious absorption or aggravation in part cases(6/22,27.3%),pathogenetic condition showed up repeatedly in part cases(2/22,9.1%). Conclusion : On the basis of clinic and CT findings,pulmonary tuberculosis can be diagnosed in diabetes.
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