糖尿病合并肺结核胸部X线及CT临床诊断研究.docVIP

糖尿病合并肺结核胸部X线及CT临床诊断研究 　　[摘要] 目的 对糖尿病合并肺结核的胸部诊断过程中，CT与X线的应用效果以及医疗价值进行探究。 方法 于2014年5月―2016年7月，从该院选择56例已确诊为糖尿病合并肺结核的患者，分别使用CT以及MRI进行一次检查，最后对糖尿病合并肺结核的胸部的诊断情况作为比较标准，对比两者之间的影像学资料进行分析。 结果 在56例患者中，在X线检查后，发现轻度病情的患者6例，中度病情的患者为10例，重度病情的患者为40例，在X线影像学资料中，呈现为大片状影的例数为35例，呈现为空洞影的例数为10例，肿块影的例数是5例，结节影的例数为5例，小斑片状的影子为1例。经过CT检查后，诊断结果相同，但是对空洞影患者、肿块影患者以及结节影患者进行扫描后发现，在空洞影患者中，检查出单发性空洞以及多发小泡状空洞多种类型。结论 CT与X线虽然都可以为糖尿病合并肺结核的患者进行检查，并且提供重要的治疗凭证，但是CT具有更高的诊断效果，可以被推广应用。 　　[关键词] 糖尿病合并肺结核；胸部；X线；CT；临床诊断；研究 　　[中图分类号] R58 [文献标识码] A [文章编号] 1672-4062（2017）12（b）-0003-03 　　[Abstract] Objective To study the effect and value of chest X ray and CT clinical diagnosis of diabetes combined with pulmonary tuberculosis. Methods 56 cases of patients with diabetes combined with pulmonary tuberculosis diagnosed in our hospital from May 2014 to July 2016 were selected， respectively treated with CT and MRI， finally， the chest diagnosis situation of diabetes combined with pulmonary tuberculosis was used as the comparison standard， and the imaging data were compared between the two. Results Of 56 cases of patients， the X ray examination showed that there were 6 cases with mild diseases， 10 cases with moderate diseases， and 40 cases with severe diseases， and the X ray imaging data showed that there were 35 cases with large plate-like shadow， 10 cases with hollow shadow， 5 cases with mass shadow， and 5 cases with nodule shadow， 1 case with patchy shadow， and the CT examination showed the same results with the diagnosis results，the patients with hollow shadow， multiple types such as single cavity and multiple vesicle cavitates were examined. Conclusion Both CT and X ray can examine the patients with diabetes and pulmonary tuberculosis and provide important treatment evidence， but the CT has a higher diagnosis effect， which can be promoted and applied. 　　[Key words] Diabetes combined with pulmonary tuberculosis； Chest； X ray； CT； Clinical diagnosis； Research 　　糖尿病是一?N以高血糖为典型特征的病症，属于代谢性疾病，由于高血糖的作用下，使人体内的多个组织，尤其为眼、肾以及心脏血管