摘要
目的探讨非结核分枝杆菌(NTM)肺病的胸部CT影像学特点,并与耐多药肺结核(MDR-TB)的影像学特点进行比较。方法收集2014年1月—2015年8月天津海河医院收治的NTM肺病患者32例为NTM肺病组,另选择同期本院收治的MDR-TB患者59例为MDR-TB组,回顾性分析两组患者胸部CT影像学特点。结果NTM肺病组与MDR-TB组患者胸部CT病变累及肺叶数量分布、单发空洞、多发空洞、支气管扩张、结节检出率比较,差异均无统计学意义(P>0.05);NTM肺病组患者胸部CT薄壁空洞检出率高于MDR-TB组,厚壁空洞、肺实变、肺不张、钙化(肺内)、肺门纵隔淋巴结钙化、肺体积缩小、胸膜增厚、胸腔积液检出率低于MDR-TB组(P<0.05)。NTM肺病组患者胸部CT左肺舌叶及右肺中叶的病变、空洞、支气管扩张检出率高于MDR-TB组(P<0.05);两组其他部位及合计病变、空洞、支气管扩张、结节检出率比较,差异均无统计学意义(P>0.05)。结论NTM肺病胸部CT影像学表现更易见薄壁空洞,MDR-TB更易见厚壁空洞、肺实变、肺不张、钙化(肺内)、肺门纵隔淋巴结钙化、肺体积缩小、胸膜增厚、胸腔积液等,NTM肺病与MDR-TB有一定相似性,但亦有各自的特点,可为临床早期诊断及早期治疗提供一定的帮助。
Objective To investigate the chest CT imaging characteristics of nontuberculous mycobacteria(NTM)lung disease patients,and compare this with the imaging characteristics of multi-drug resistant tuberculosis(MDR-TB).Methods 32 patients with NTM lung disease,who received treatment in Tianjin Haihe Hospital from January 2014 to August2015,were collected as the NTM lung disease group,and other 59 patients with MDR-TB of the same treatment period were chosen as MDR-TB group.The characteristics of chest CT imaging of patients were analyzed retrospectively.Results There was no significant difference in the number of involved lung by chest CT,single cavity,bilateral cavity,bronchiectasis,nodules detection rate of the patients in the NTM lung disease group and the MDR-TB group(P〉0.05);the thin-wall cavity detection rate of patients by chest CT in NTM lung disease group was higher than that of the MDR-TB group,the detection rate of thick-wall cavity,pulmonary consolidation,atelectasis,calcification(in lung),hilar mediastinal lymph node calcification,lung volume reduction,pleural thickening,the pleural effusion were lower than those of the MDR-TB group(P〈0.05).The detection rate of the ligule lobe of left lung and the right middle lobe of right lung lesions,cavities,and bronchiectasis by chest CT of the patients in NTM lung disease group were higher than those of the MDR-TB group(P〈0.05).There were no significant differences in the detection rate of the other parts and the total lesions,cavities,bronchiectasis and nodules of the two groups(P〈0.05).Conclusion It is easier for NTM lung disease chest CT imaging findings to detect thin-wall cavity,while for MDR-TB to easily detect thick-wall cavity,pulmonary consolidation,atelectasis,calcification(in lung),hilar mediastinal lymph node calcification,lung volume reduction,pleural thickening,and the pleural effusion.Although NTM lung disease has certain similarity with MDR-TB,they have their own characteristics,which help the early diagnosis and treatment in clinical practice.
作者
薛卉
邢志珩
秦超
李志媛
邢丽华
杜钟珍
XUE Hui;XING Zhi-heng;QIN Chao(Department of Tuberculosis,Tianjin Haihe Hospital,TCM Key Laboratory for Infectious Disease Prevention and Control,State Administration of Traditional Chinese Medicine,Tianjin 300350,China)
出处
《中国全科医学》
CAS
CSCD
北大核心
2016年第21期2572-2576,共5页
Chinese General Practice
关键词
非结核分枝杆菌
肺病
体层摄影术
发射型计算机
诊断
Nontuberculous mycobacteria
Lung diseases
Tomography
emission-computed
Diagnosis
