菌阴活动性肺结核抗结核治疗后的多层螺旋CT追踪研究

发布时间：2018-03-28 23:08

本文选题：肺结核　切入点：螺旋CT　出处：《现代医用影像学》2012年02期

【摘要】：目的:探讨菌阴活动性肺结核抗结核治疗前后CT征象的改变。材料与方法:搜集38例菌阴活动性肺结核,观察治疗前、治疗6个月及12个月后的CT征象改变,并随机抽取38例菌阳活动性肺结核对比观察。结果:菌阴活动性肺结核CT活动性征象中小HT中心结节、树芽征、小叶间隔增厚、肺实变、支气管壁增厚、毛玻璃影、厚壁空洞治疗前的检出率分别为86.84%、52.63%、34.21%、34.21%、68.42%、78.95%和28.95%,治疗12个月后检出率为15.79%、0.0、2.63%、42.11%、0。5.26低两者之间有显著性差异00.00人菌阳活动性肺结核的树芽征及厚壁空洞征象检出率均高于菌阴肺结核组,两者之间有显著性差异(P0.05)。结论:菌阴活动性肺结核与菌阳活动性肺结核相比CT静态表现与动态演变均有一定特征性。
[Abstract]:Objective: to investigate the changes of CT signs before and after anti-tuberculosis treatment in 38 cases of active bacteria-negative pulmonary tuberculosis before and after treatment, and to observe the changes of CT signs before treatment, 6 months after treatment and 12 months after treatment. Results: Ct signs of positive pulmonary tuberculosis were small and medium HT central nodule, tree bud sign, lobular septal thickening, pulmonary consolidation, bronchial wall thickening, glass-hair shadow. The detectable rate of thick wall cavity before treatment was 86.84 / 52.63 and 34.21 / 34.21, 78.95% and 28.95%, respectively. After 12 months of treatment, the detection rate was 15.790.02.633.11% 0.5.26. There was a significant difference between the two groups. The detection rate of tree bud sign and thick wall cavity sign of positive active pulmonary tuberculosis of 00.00 people was higher than that of negative pulmonary tuberculosis group. There was significant difference between the two groups (P 0.05). Conclusion: there are some characteristics of static and dynamic changes of CT in comparison with positive pulmonary tuberculosis and bacilli negative active pulmonary tuberculosis.
【作者单位】：广州市胸科医院放射科;广州医学院;
【基金】：广东省科技厅科技基础条件建设项目(项目编号;2009B060700093)
【分类号】：R521

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