非结核分枝杆菌肺病患者的胸部CT影像学特点分析

发布时间：2018-04-15 15:44

本文选题：非结核分枝杆菌 + 肺病　；参考：《中国全科医学》2016年21期

【摘要】：目的探讨非结核分枝杆菌(NTM)肺病的胸部CT影像学特点,并与耐多药肺结核(MDR-TB)的影像学特点进行比较。方法收集2014年1月—2015年8月天津海河医院收治的NTM肺病患者32例为NTM肺病组,另选择同期本院收治的MDR-TB患者59例为MDR-TB组,回顾性分析两组患者胸部CT影像学特点。结果 NTM肺病组与MDR-TB组患者胸部CT病变累及肺叶数量分布、单发空洞、多发空洞、支气管扩张、结节检出率比较,差异均无统计学意义(P0.05);NTM肺病组患者胸部CT薄壁空洞检出率高于MDR-TB组,厚壁空洞、肺实变、肺不张、钙化(肺内)、肺门纵隔淋巴结钙化、肺体积缩小、胸膜增厚、胸腔积液检出率低于MDR-TB组(P0.05)。NTM肺病组患者胸部CT左肺舌叶及右肺中叶的病变、空洞、支气管扩张检出率高于MDR-TB组(P0.05);两组其他部位及合计病变、空洞、支气管扩张、结节检出率比较,差异均无统计学意义(P0.05)。结论 NTM肺病胸部CT影像学表现更易见薄壁空洞,MDR-TB更易见厚壁空洞、肺实变、肺不张、钙化(肺内)、肺门纵隔淋巴结钙化、肺体积缩小、胸膜增厚、胸腔积液等,NTM肺病与MDR-TB有一定相似性,但亦有各自的特点,可为临床早期诊断及早期治疗提供一定的帮助。
[Abstract]:Objective to investigate the chest CT imaging features of nontuberculous Mycobacterium tuberculosis (NTM) pulmonary disease and to compare the imaging features with MDR-TB of multi-drug resistant pulmonary tuberculosis (MDR-TB).Methods from January 2014 to August 2015, 32 cases of NTM pulmonary disease were collected from Tianjin Haihe Hospital and 59 cases of MDR-TB were selected as MDR-TB group. The chest CT imaging features of the two groups were analyzed retrospectively.Results the number of pulmonary lobes involved in NTM lung disease group and MDR-TB group were compared with those in MDR-TB group, single cavity, multiple cavity, bronchiectasis and nodule detection rate.There was no significant difference in the detection rate of chest CT thin-walled cavities in patients with pulmonary diseases (P 0.05). The incidence of thin-walled cavities in the chest was higher than that in the MDR-TB group. The incidence of thick wall cavity, pulmonary consolidation, atelectasis, calcification of hilar and mediastinal lymph nodes, reduction of lung volume and pleural thickening were observed.The detectable rate of pleural effusion was lower than that of MDR-TB group (P 0.05). The detection rate of cavity and bronchiectasis was higher than that of MDR-TB group (P 0.05).There was no significant difference in nodule detection rate between the two groups (P 0.05).Conclusion the chest CT findings of NTM pulmonary disease are more likely to show thick wall cavity, pulmonary consolidation, atelectasis, calcification (intrapulmonary, hilar mediastinal lymph node calcification, reduced lung volume and pleural thickening).Pleural effusion is similar to MDR-TB, but it also has its own characteristics, which can provide some help for early diagnosis and treatment of pleural effusion.
【作者单位】：天津海河医院结核科国家中医药管理局中医药防治传染病重点实验室;天津海河医院放射科;天津海河医院检验科;
【分类号】：R563;R816.41

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