伴发糖尿病对老年继发性肺结核多层螺旋CT征象的影响.pdfVIP

2009年6月第47卷第l6期 ·论 著 · 伴发糖尿病对老年继发性肺结核多层螺旋CT征象的影响 关文华-韩 焱 陈殿森 韩铭钧 (1．河南科技大学第一附属医院CT室，河南洛阳471003；2．河南科技大学第一附属医院放射科，河南洛阳471003； 3．中山大学附属第五医院放射科，广东珠海 519000) 摘【要】目的探讨伴发糖尿病对老年继发性肺结核MSCT征象的影响。方法 将 17例伴发糖尿病的老年继发性肺结核患者 与同年龄组无免疫功能损伤疾病的继发性肺结核患者5l例作对照，比较其病变的发生方式、部位与累及程度的差异。结果 伴有糖尿病的老年继发性肺结核CT表现为肺叶或肺段实变的发生率为68．18％，高于对照组(48．84％)(P0．05)；空洞发生 率为54．55％，高于对照组(19．61％)(P0．05)，并且以多发空洞多见。而各叶病变的发生率以及病变累及范围无统计学意义 (PO．05o结论 伴发糖尿病的老年人易发生继发性肺结核，其病变以肺叶或肺段实变以及空洞为主，各叶发生率并无特异 性，熟悉这些特征有利于提高对继发性肺结核的诊断。 [关键词】肺结核；糖尿病；体层摄影术；X线计算机 中【图分类号】R587；R521；R814．42 文【献标识码】A 文【章编号】1673—9701(2009)16—03—03 The Influence of Accompanying Diabetes M ellitus to the MSCT Signs PresentationofOlderSecondaryPulmonaryTuberculosis GUAN Wenhua HAN Yat~ CHEN Diansen HAN MAngjuns 1．DepmlmentofCT；2．DepartmentofRadiology of The First At~liated Hospital of Henan University ofScience and Technoloyg ． Luoyang471003；3．DepartmentofRadioloyg ofSubsidiary ofTh eFifth Sun Yatsen UniversityHospital，Guangdong 519000 IAbstract】ObjectiveToexploretheinfluenceofaccompanyingdiabetesmellitustoMSCT signsofoldersecondarypulmonary tuberculosis．M ethods Seventeen cases older secondary pulmonary tuberculosispatients accompanying DM were compared wiht the sameagespatients wihtoutDM．Th e data ofdistributionmodMi~ and degreewerena alysizedaccordingdifferentrgoups．Results The incidence ratesoflobulra orsegmentconsolidation ofolderpatients accompna ying immunoeompmmised to diseaseswas 68．18％，which Was higherthna htatofcontrolgroup (48．84％)(P0．05)．Theincidenceratesofcavitations．especiallyofmultiplecavitationsofolder patientsaccompnayingimmunocompmmiseddiseasesWas 54．55％，whichWas hihgerthna htatofcontrolgroup(19．61％)(P0．05)．The incidencerateofdifferentlobulra nadhtedergeeofhteextentinvolvedhas nosingificnatdeviationwith differentgroups(