摘要
目的总结出入境人员中耐多药肺结核(MDR-TB)患者胸部X线影像学特征,有助于基层体检机构及时发现MDR-TB。方法将2012年1月-2016年5月广东国际旅行卫生保健中心诊断的72例MDR-TB患者纳入MDR-TB组,并按性别、年龄、职业、户籍及病程进行个体匹配,纳入同样数量的非MDR-TB患者作为对照组,比较两组患者X线胸片的影像学特征。结果相对于对照组,MDR-TB组发生双肺中下野病变的患者明显增多,出现斑点状影、空洞和肺内播散的机会大(P<0.05)。结论 MDR-TB患者胸部X线影像学多在双肺中下野出现改变,并以斑点状影、空洞和肺内播散最具有特异性。
Objective To summarize the imaging features of X-ray in patients with multi-drug resistant pulmonary tuberculosis（MDR-TB） among the entry-exit people,and to help clinicians to make right diagnosis. Methods From January 2012 to May 2016,72 MDR-TB patients diagnosed in Guangdong International Travel Healthcare Center were enrolled into MDR-TB group,and the same number of non MDR-TB patients were selected as control group which matched with sex,age,profession,household registration and course. The imaging features of X-ray of all the patients were compared and analyzed. Results Compared with the control group,patients with MDR-TB showed evident increase to lesions of the middle and lower fields of the bilateral lungs and appearance of diffuse spot,cavity,disseminated focus（P 〈0.05）. Conclusion X-ray imaging in patients with MDR-TB showed more changes in the middle and lower fields of the bilateral lungs and most specificity to diffuse spot,cavity,disseminated focus.
出处
《中国国境卫生检疫杂志》
CAS
2017年第3期201-202,共2页
Chinese Journal of Frontier Health and Quarantine
关键词
肺结核
耐多药
X线
口岸
Pulmonary tuberculosis
Multi-drug resistant
X-ray
Port
