摘要
目的探讨使用多层螺旋CT在肺结核诊断中的应用价值。方法选取2018年8月至2019年8月南阳市中心医院收治的104例肺结核患者,所有研究对象经临床活检、痰检、临床治愈结果明确证实,并对其进行多层螺旋CT与X射线检查。比较两种诊断方法检出有效率、各部位检出情况、各病灶检出情况。结果多层螺旋CT检出有效率高于X射线,差异有统计学意义(P<0.05)。多层螺旋CT对隐藏部位、双肺下叶基底段、双肺下叶背段、双肺上叶尖后段及双肺上叶前段等各部位检出率高于X射线,差异有统计学意义(P<0.05)。多层螺旋CT对钙化灶、胸水、淋巴结肿大及空洞等各病灶检出率高于X射线,差异有统计学意义(P<0.05)。结论在肺结核诊断中,多层螺旋CT的诊断有效性较X射线更高,值得临床推广使用。
[Objective]To explore the application value of multi-slice spiral CT(MSCT)in the diagnosis of pulmonary tuberculosis.[Methods]One hundred and four cases of pulmonary tuberculosis patients admitted to our hospital from August 2018 to August 2019 were selected and confirmed by clinical biopsy,sputum examination and clinical cure results.All patients underwent multi-slice spiral CT and X-ray examination.The detection efficiency of the two diagnostic methods,the detection rate of each site and the detection rate of each lesion were compared.[Results]The detection rate of multi-slice CT was significantly higher than that of X-ray(P<0.05).The detection rate of multi-slice spiral CT was higher than that of X-ray in hidden place,basal segment of bilateral lower lobe,dorsal segment of bilateral lower lobe,apicoposterior segment of bilateral upper lobe,and anterior segment of bilateral upper lobe(P<0.05).The lesion detection rate of multi-slice spiral CT was higher than that of X-ray,such as calcification,pleural effusion,lymph node enlargement,and cavity(P<0.05).[Conclusion]Multi-slice spiral CT is effective in the diagnosis of pulmonary tuberculosis and is worthy of clinical use.
作者
王平
WANG Ping(Department of Radiology,Nanyang Central Hospital,Nanyang,Henan 473000,China)
出处
《中国医学工程》
2021年第5期77-79,共3页
China Medical Engineering
