彩色多普勒和DR对肺结核诊断表现分析.docVIP

彩色多普勒和DR对肺结核诊断表现分析 　　DOI：10.16662/j.cnki.1674-0742.2017.07.173 　　[摘要] 目的 探究彩色多普勒和DR对肺结核的影像学表现及在不典型肺结核诊断中的临床应用价值。方法 方便选取该院于2015年1―6月收治的经病理确诊为不典型肺结核的34例患者行DR检查及彩色多普勒超声检查，对获取图像进行分析，并比较单一检查手段与DR结合多普勒超声检查的诊断准确率。结果 与病理诊断结果对照，DR诊断准确率为58.8%，DR结合彩色多普勒超声诊断准确率为82.4%，比较差异有统计学意义（P0.05）。 结论 彩色多普勒和DR均是肺结核诊断常用?z查手段，DR结合彩色多普勒超声可进一步提高诊断准确性。 　　[关键词] 肺结核；不典型；超声检查手段；彩色多普勒；DR 　　[中图分类号] R521 [文献标识码] A [文章编号] 1674-0742（2017）03（a）-0173-03 　　Analysis of Diagnostic Performance of Color Doppler and DR for Pulmonary Tuberculosis 　　KAN Ze-long 　　Xihanggang Community Health Service Center of Shuangliu District， Chengdu， Sichuan Province， 610200 China 　　[Abstract] Objective To discuss the imaging performance of color Doppler and DR for pulmonary tuberculosis and clinical application value in the diagnosis of atypical pulmonary tuberculosis Methods Convenient selection 34 cases of patients with atypical pulmonary tuberculosis by the pathological confirmation admitted and treated from January 2015 to June 2015 were examined by the DR and color Doppler， and the images were analyzed and the diagnostic accurate rate of the single examination means and the combined means was compared. Results The difference in the diagnosis accurate rate between the single examination means and the combined means of color Doppler and DR had statistical significance by comparison（58.8% vs 82.4%）（P0.05）. Conclusion Both color Doppler and DR are the common examination means in diagnosis of pulmonary tuberculosis， which can further improve the diagnostic accuracy. 　　[Key words] Pulmonary tuberculosis； Atypical； Ultrasonic examination means； Color Doppler； DR 　　肺结核是重点防控的一类传染性疾病，从症状表现来看，可将其分为典型肺结核和不典型肺结核，借助影像学检查手段可对典型肺结核做出明确诊断，后者因缺乏特异性，影像学诊断难度较大，容易出现漏诊或误诊情况[1]。该研究对该院于2015年1―6月收治的34例肺结核患者的彩色多普勒与DR的临床表现进行分析，现报道如下。 　　1 资料与方法 　　1.1 一般资料 　　方便选取该院传防科收治肺结核患者34例，来诊时有咳嗽咳痰14例，发热症状8例，胸闷胸痛7例，呼吸困难6例，乏力6例，气促5例，其他症状5例，无明显症状表现8例；听诊有肺部湿罗音2例，痰检呈阳性5例，均经病理确诊为不典型肺结核，给予正规抗结核治疗。其中男性24例，女性10例，年龄22～73岁，平均年龄为（48.6±5.2）岁，平均病程为（1.2±0.4）年，治