摘要
目的收集经药物敏感试验证实的耐多药肺结核,探讨耐多药肺结核的胸部影像学特点,提高对耐多药肺结核的认识。方法选取符合标准的耐多药肺结核125例为观察组,同期不耐药的肺结核患者120例为对照组。全部患者均有正、侧位胸片及胸部CT扫描片。结果①观察组与对照组相比,观察组病变分布广泛,明显多于对比组,两者差异有统计学意义(P<0.05)。②比较病变形态,观察组肺内播散病灶、合并空洞及合并肺毁损多于对照组,二者差异有统计学意义(P<0.05)。③病变的动态变化,病变进展观察组多于对照组,好转病例观察组少于对照组,二者差异有统计学意义(P<0.05)。结论耐多药肺结核的胸部影像具有病变严重,较多肺内播散病灶、合并空洞及合并肺毁损的特点。
Objective To study the imaging features and diagnosis of muhidrug-resistant tuberculosis. Methods One hundred and twenty five cases with muhidrug-resistant tuberculosis meet the criterion（ observation group） and 120 cases with drug sensitive tuberculosis（ control group） were enrolled in this study. The anterior and lateral X-ray chest radiographs and CT were per- formed in all patients. Results ①The distribution of lesions in the observation group was widely than that in the control group, the statically significant difference between the two group was found（ P 〈 0.05 ）.②The pathological changes, such as disseminated foci, cavity and complications, were more common in the experimental group, and the difference between the two group had statistical significance （P 〈 0.05 ）.③The worsen cases were more, but the improved cases were less in the experimental group as compared with the control group （ P 〈 0.05 ）. Conclusion The imaging features of muhidrug-resistant tuberculosis are significant activitv, more disseminated foci. cavity and comulications.
出处
《中华全科医学》
2011年第3期459-460,共2页
Chinese Journal of General Practice
关键词
结核
耐多药
X线摄影
X线计算机
Tuberculosis
Multidrug-resistant
Radiography
X-ray computer
作者简介
通讯作者：董琼雄，电子信箱：dqx7211@yahoo．com．cn
