摘要
目的探讨螺旋CT对恶性胸腔积液与结核性胸腔积液的鉴别诊断价值。方法回顾性分析2015年1月—2016年6月南宁市第四人民医院收治的88例经胸膜活检证实为恶性胸腔积液和结核性胸腔积液患者的CT资料,对比分析两者的差异。结果恶性胸腔积液患者的发病年龄[(60.00±11.50)岁]高于结核性胸腔积液患者[(38.30±15.00)岁]的发病年龄,差异有统计学意义(t=6.933,P<0.001);恶性胸腔积液患者胸膜增厚、胸膜结节的发生率分别为96.67%(29/30)、63.33%(19/30),均较结核性胸腔积液的发生率[分别为77.59%(45/58)、3.45%(2/58)]高,差异均具有统计学意义(χ~2值分别为4.049、39.027,P值分别为0.044、<0.001)。结论恶性胸腔积液及结核性胸腔积液患者均可引发胸膜增厚及胸膜结节,螺旋CT对恶性胸腔积液与结核性胸腔积液具有一定的鉴别诊断价值。
Objective To evaluate the value of spiral CT in differential diagnosis of malignant and tuberculous pleural effusion. Methods Retrospectively analyzed CT scan data from 88 cases confirmed with malignant and tuberculous pleural effusion by pleural biopsy and cared at Guangxi Nanning Fourth People＇s Hospital from January 2015 to June 2016, and compared the difference between malignant and tubercular pleural effusion. Results The onset age of malignant pleural effusion [（60. 00±11.50） years] was significantly older than that of tuberculous pleural effusion [（38.30± 15.00） years], comparison the onset age of malignant and tuberculous pleural effusion showed that there was statistically significant difference （t =6. 933, P 〈0. 001）. The incidences of pleural thickening and pleural nodules in patients with malignant pleural effusion were 96. 67%（29/30） and 63.33%（19/30）, respectively, and both were significantly higher than those of tuberculous pleural effusion [77.59M （45/58） and 3.45 % （2/58）], compared the incidences of pleural thickening and pleural nodules in patients with malignant and tubercular pleural effusion, there were statistical differences （χ2= 4.049, P =0.044; χ2=39.027, P〈0.001）. Conclusion Malignant pleural effusion and tuberculous pleural effusion can cause pleural thickening and pleural nodules, and spiral CT has a certain value in differential diagnosis of malignant pleural effusion and tuberculous pleural effusion.
作者
宋树林
彭认平
张世迁
黎丹丹
卢亦波
覃春乐
Song Shulin Peng Renping Zhang Shiqian Li Dandan Lu Yibo Qin Chunle(Department of Radiology, Guangxi Nanning Fourth People＇s Hospital, AIDS Clinical Treatment Center of Guangxi （Nanning）, Nanning 530023, Guangxi, China Endoscopic Laboratory, Guangxi Nanning Fourth People＇s Hospital, AIDS Clinical Treatment Center of Guangxi （Nanning）, Nanning 530023, Guangxi, China)
出处
《右江民族医学院学报》
2017年第4期276-279,共4页
Journal of Youjiang Medical University for Nationalities
基金
南宁市科技攻关计划(20153122)
作者简介
E—mail：115710597@qq．com
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