摘要
目的探索结核性胸腔积液和恶性胸腔积液的CT影像特点。方法选择100例呼吸科患者为此次研究对象,所有患者均在2012年3月—2014年3月期间收治,分为两组,一组为结核性胸腔积液组患者(50例),一组为恶性胸腔积液组患者(50例),对所有患者使用CT检查,分析结核性胸腔积液组患者和恶性胸腔积液组患者的CT影像学特点。结果结核性胸腔积液患者和恶性胸腔积液患者的病灶大小和CT值分别为(0.86±0.29)cm和(43.96±5.46)HU,(1.02±0.57)cm和(44.02±6.15)HU,差异无统计学意义(P>0.05)。结核性胸腔积液组患者包裹性积液(22.00%)最为常见;恶性胸腔积液组患者以纵隔移位(30.00%)、支气管堵塞或狭窄(30.00%)、大量积液(48.00%)、肺内结节灶或肿块(62.00%)、胸廓塌陷(20.00%)最为常见(P<0.05)。结论 CT影像技术在结核性胸腔积液组患者和恶性胸腔积液组患者中效果均确切,值得推广。
Objective To explore the CT imaging features of Tuberculous hydrothorax and Malignant pleural effusion. Methods 100 cases of patients treated in the department of respiration in our hospital from March 2012 to March 2014 were selected and divided into two groups with 50 cases in each, both groups adopted the CT examination, and the CT imaging features of patients with Tuberculous hydrothorax and patients with Malignant pleural effusion were analyzed. Results The lesion size and CT value of patients with tuberculous hydrothorax and patients with Malignant pleural effusion were respectively （0.86±0.29）cm and （43.96±5.46）HU, （1.02±0.57）cm and （44.02±6.15）HU, and the differences had statistical significance（P〉0.05）, and the encapsulated effusion was the most common in the tuberculous hydrothorax group, accounting for 22.00%, and the mediastinal displacement（30.00%）,Bronchial obstruction or stenosis （30.00%）, Massive effusion （48.00%）, Pulmonary nodules or masses （62.00%） and Thoracic collapse （20.00%） were the most common in the Malignant pleural effusion group（P〈0.05）. Conclusion The effect of CT imaging technology in patients with Tuberculous hydrothorax and patients with malignant pleural effusion is definite, which is worth promotion.
出处
《系统医学》
2017年第4期98-100,共3页
Systems Medicine
关键词
结核性胸腔积液
恶性胸腔积液
CT影像特点
Tuberculous hydrothorax
Malignant pleural effusion
CT imaging features
