薛卉 1邢志珩 2秦超 1李志媛 3邢丽华 1杜钟珍1
作者信息
- 1. 300350 天津市，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
- 2. 300350 天津市，天津海河医院放射科
- 3. 300350 天津市，天津海河医院检验科
- 折叠
摘要
Abstract
Objective To investigate the chest CT imaging characteristics of nontuberculous mycobacteria( NTM) lung disease patients,and compare this with the imaging characteristics of multi - drug resistant tuberculosis( MDR-TB). Methods 32 patients with NTM lung disease,who received treatment in Tianjin Haihe Hospital from January 2014 to August 2015,were collected as the NTM lung disease group,and other 59 patients with MDR-TB of the same treatment period were chosen as MDR-TB group. The characteristics of chest CT imaging of patients were analyzed retrospectively. Results There was no significant difference in the number of involved lung by chest CT,single cavity,bilateral cavity,bronchiectasis,nodules detection rate of the patients in the NTM lung disease group and the MDR-TB group(P ﹥ 0. 05);the thin - wall cavity detection rate of patients by chest CT in NTM lung disease group was higher than that of the MDR-TB group,the detection rate of thick -wall cavity,pulmonary consolidation,atelectasis,calcification( in lung),hilar mediastinal lymph node calcification,lung volume reduction,pleural thickening,the pleural effusion were lower than those of the MDR-TB group( P ﹤ 0. 05). The detection rate of the ligule lobe of left lung and the right middle lobe of right lung lesions,cavities,and bronchiectasis by chest CT of the patients in NTM lung disease group were higher than those of the MDR-TB group( P ﹤ 0. 05) . There were no significant differences in the detection rate of the other parts and the total lesions,cavities,bronchiectasis and nodules of the two groups(P ﹥ 0. 05). Conclusion It is easier for NTM lung disease chest CT imaging findings to detect thin - wall cavity,while for MDR-TB to easily detect thick - wall cavity, pulmonary consolidation, atelectasis, calcification ( in lung ), hilar mediastinal lymph node calcification,lung volume reduction,pleural thickening,and the pleural effusion. Although NTM lung disease has certain similarity with MDR-TB,they have their own characteristics,which help the early diagnosis and treatment in clinical practice.关键词
非结核分枝杆菌/肺病/体层摄影术,发射型计算机/诊断Key words
Nontuberculous mycobacteria/Lung diseases/Tomography,emission - computed/Diagnosis分类
临床医学
