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目的研究分析糖尿病合并肺结核病程中胸部动态影像变化。方法选择2007年1月~2010年12月收治的糖尿病合并肺结核病例92例,回顾性分析这些影像资料,动态观察其2~3个月血糖水平和肺部病灶变化。结果 92例临床病例肺部病变累及3个肺野以上占65.2%(60/92),空洞占60.9%(56/92),X线主要表现为大片状(78.3%,72/92)或多发小片状浓密影(21.7%,20/92)。经2个月治疗血糖控制差组恶化病例多于血糖控制良好组,两组比较差异有统计学意义(P<0.01)。而治疗3个月及以上时间治疗,所有病例血糖均控制良好,上述两组变化比较差异无统计学意义(P>0.05)。结论糖尿病合并肺结核胸部影像具有特点,其动态变化与血糖水平密切相关。
Objective To study the changes of chest dynamic images in the course of diabetes mellitus combined pulmonary tuberculosis. Methods Ninety-two diabetic patients with pulmonary tuberculosis who were admitted from January 2007 to December 2010 were retrospectively analyzed. The blood glucose levels and the changes of lung lesions in 2 to 3 months were dynamically observed. Results Of the 92 cases, lung disease accounted for 65.2% (60/92) in 3 lung fields and 60.9% (56/92) in empty lung. The X-ray findings were mainly in the form of large sheets (78.3%, 72/92) or Multiple small flaky film (21.7%, 20/92). After 2 months of treatment, the worsening of glycemic control worse than the good glycemic control group, the difference between the two groups was statistically significant (P <0.01). The treatment of 3 months and above time treatment, blood glucose in all cases were well controlled, there was no significant difference between the two groups (P> 0.05). Conclusion The chest CT images of diabetic patients with pulmonary tuberculosis have the characteristics that the dynamic changes are closely related to the blood glucose level.