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目的探讨糖尿病合并肺结核的胸部CT表现。方法搜集我院52例糖尿病合并继发性肺结核患者胸部CT表现。结果大多数呈多个肺段病变,占71.2%,单发于结核好发部位的占59.6%,好发与非好发部位两种部位同时存在占25.0%。病变的CT征象主要有大片融合影、斑片影、空洞、树芽征、结节、肿块及纤维条索影,同一病例可有多种形态并存。结论糖尿病合并肺结核的胸部CT表现具有多形性,多部位累及,易累及结核少发部位。以大片状、空洞和支气管播散灶为主。
Objective To investigate the chest CT findings of diabetic patients with pulmonary tuberculosis. Methods We collected CT findings of chest CT in 52 patients with diabetes complicated with secondary pulmonary tuberculosis in our hospital. Results Most of the lesions showed multiple lesions of the lung segment, accounting for 71.2%. Only 59.6% of them were found to be predominant in tuberculosis, while 25.0% were found in both of them. Lesions of the CT signs are large fusion film, patchy film, voids, tree buds, nodules, lumps and fiber film shadow, the same case can have a variety of forms co-exist. Conclusions CT manifestations of pleural effusion in patients with diabetes mellitus and pulmonary tuberculosis are pleomorphic, multi-site involvement and easy to involve in the lessening of tuberculosis. To large, empty and bronchial disseminated stove-based.