多层螺旋C及三维重建在不典型肺结核诊断中的应用价值.docVIP

多层螺旋CT及三维重建在不典型肺结核诊断中的应用价值? 孙磊 山东省枣庄市立医院 外科 【摘要】目的：探讨多层螺旋CT及三维重建在不典型肺结核诊断中的应用价值。方法：选择2010年12月至2013年12月我院接受治疗的不典型肺结核疾病患者150例，严格按照随机化的原则将所有入选患者分为对照组75例和观察组75例，对照组采用多层螺旋CT对患者情况进行检查，观察组在对照组的基础上进行三维重建，总结两组诊断结果，并把诊断结果与临床上最终确诊的结果进行对比。结果：对照组诊断正确的有33例，诊断率为44.0%，观察组诊断正确的为64例，诊断率达到85.3%，观察组诊断正确率明显高于对照组，两组差异具有统计学意义(P0.05)。结论：多层螺旋CT及三维重建能够显著提高不典型肺结核的诊断正确率，具有较高的临床诊断价值。 【关键词】多层螺旋CT；三维重建；不典型肺结核；影像学分析 The applications to diagnose of atypical tuberculosis using Multislice CT and 3D reconstruction [ABSTRACT] Objective: To investigate the applications to diagnose of atypical tuberculosis using Multislice CT and 3D reconstruction. Methods: 150 cases patients with atypical tuberculosis disease were selected from December 2010 to December 2013 in our hospital ,they were divided into a control group 75 cases and 75 cases of the observation group in strict accordance with the principle of randomization .the control group would be accepted multislice spiral CT for patients to inspect the disease, and the observation group would be accepted three-dimensional reconstruction on the basis of the control group , then summarized the results of the diagnostic groups , and the results of the clinical diagnosis and the final diagnosis were compared . Results: The control group had 33 cases in correct diagnosis , the diagnosis rate of 44.0% while 64 cases were correctly diagnosein the observation group d, the diagnosis rate of 85.3% in the observation group was significantly higher diagnostic accuracy , the difference was statistically significant (P 0.05). Conclusion : Spiral CT and 3D reconstruction can significantly improve the diagnostic accuracy of atypical tuberculosis ,it has a high diagnostic value . [Key words] multislice spiral CT; reconstruction ; atypical tuberculosis ; imaging analysis 结核病是由结核分枝杆菌所引起的慢性传染病，病菌可侵及人体的很多脏器，最常见的是肺结核。不典型肺结核是指在症状、体征和胸部X线表现及临床经过等诸多方面与一般肺结核患者不同的结核病，由于其诸多特征的不典型，非常容易延误诊断，有报道显示临床上不典型肺结核的诊治延误可达63%[1]，为患者的临床治疗带来了极大的障