摘要
目的分析肺结核空洞影像诊断价值。方法选择2014年1月~2016年6月我院诊治的48例肺结核空洞患者作为研究对象,48例患者分别应用胸部X线片和CT影像学检查,分析影像诊断结果。结果 48例肺结核空洞患者经X片检查,检出有38例40个空洞,48例肺结核空洞患者经CT检查,检出48例75个空洞。对比两种不同影像学检查方法的检出例数与空洞例数、空洞壁厚薄（3 mm）,两种影像学检查方法对比差异具有统计学意义（P〈0.05）;影像学检查48例患者空洞外病变情况,对比卫星病灶、支气管播散病变、淋巴结肿大、胸腔积液,胸部CT检查分别为39例、22例、9例、12例,X线片检查分别为27例、12例、0例、2例,两种影像学检查方法对比差异具有统计学意义（P〈0.05）;对比小叶斑片实变、干酪性肺炎及胸膜增厚,两种影像诊断差异无统计学意义（P〉0.05）。结论 CT对于肺结核空洞诊断好于X线检查,可以掌握肺结核患者空洞病变及周围征象,为患者治疗和预后提供重要的评估标准。
Objective To analyze the diagnostic value of tuberculosis cavity image. Methods 48 patients with tuberculosis cavity treated in our hospital from January 2014 to June 2016 were selected as the study objects, and were respectively given breast X-ray and CT imaging examination, and the imaging diagnostic results were analyzed. Results 48 cases of tuberculosis empty cavity by X-ray examination, 38 cases were detected in 40 empty, 48 cases of pulmonary tuberculosis cavity by CT examination, 48 cases of 75 holes were detected. There were significant differences between the two imaging modalities（P〈0.05）. There were significant differences in the number of cases and the number of voids and the thickness of the wall（3 mm） between the two different imaging modalities. There were 39 cases, 22 cases, 9 cases and 12 cases of chest lesions, lymphadenopathy, pleural effusion and thoracic CT. The X-ray films were 27, 12, 0, 2（P 〈0.05）. There was no significant difference in the diagnosis of lobular patch consolidation, caseous pneumonia and pleural thickening（P〉0.05）. Conclusion CT is more effective than X-ray in the diagnosis of pulmonary tuberculosis. It can be used as an important evaluation standard for treatment and prognosis of pulmonary tuberculosis patients.
出处
《中国继续医学教育》
2016年第36期35-37,共3页
China Continuing Medical Education
关键词
肺结核
空洞
影像诊断
Tuberculosis
Cavity
Imaging diagnosis
