摘要
目的:探讨继发型肺结核患者中GGO的发生率、影响因素及其临床意义。方法:回顾性分析我院结核科住院确诊初治涂阳继发型肺结核230例的影像与临床资料。结果:符合本文标准的磨玻璃影86例,占37.4%;不同年龄不同性别中GGO发生率不一(21.4%~45.8%),男性较女性多,有显著性差异(χ~2=0.005);女性合并糖尿病者少于男性,两者有显著差异(χ~2=0.016);男性老年患者多于女性,两者有显著差异(χ~2=0.007);女性GGO的发生率与病灶范围大小无显著性差异,而在男性中GGO的发生率与病灶范围有显著性差异(χ~2=0.005);GGO的发生率与患者是否发热有显著性差异(χ~2=0.001)。结论:磨玻璃密度影是结核炎性渗出病理改变在影像学上的反映,受多种因素影响,且干扰因素很多,正确认识磨玻璃密度影在继发型肺结核的影像学特点并紧密结合临床对诊断及治疗有一定的参考价值。
Objective Discuss the incidence,influence factors and clinical significance of GGO in patients with Secondary Pulmonary Tuberculosis.Methods Retrospective analysis of imaging and clinical data of 230 confirmed cases of initially treated smear positive Secondary Pulmonary Tuberculosis in the TB division of Shengli hospital.Results Ground glass opacity was observed in 86 cases,accounting for 3 7.4%of the total cases reviewed A review of cases with differing ages and gender showed a difference in the incidence of GGO(21.4% ~ 45.8%);there was a significant differences between genders,with more male patients than female(χ2=0.005);for patients with diabetes mellitus,the number of male patients was significantly higher than female patients(χ2=0.016);for older patients,the number of male patients was significantly higher than female patients(χ2=0.007);in female patients there was no significant correlation between lesion size and incidence of GGO,whereas for male patients a significant correlation was observed between lesion size and the incidence of GGO(χ2=0.005);there was a significant difference in the incidence of GGO for patients with fever(χ2=0.001).Conclusion Ground glass opacity is the reflection on the imaging of inflammatory exudative Tuberculosis pathological changes.It is influenced by many factors,and has a lot of interference factors.Correct understanding of the imaging characteristics of GGO in Secondary Pulmonary Tuberculosis closely combined with clinical data can improve the diagnosis and treatment of this disease.
作者
吕艳
Lv Yan(Radiology Department,Shengli Hospital,Shengli Oil Field,Dongying,Shandong 257055,China)
出处
《影像研究与医学应用》
2018年第20期25-27,共3页
Journal of Imaging Research and Medical Applications
关键词
体层摄影术
X线计算机
结核
肺
磨玻璃密度影
回顾性研究
发热
Tomography
X-ray computer
Tuberculosis(TB)
Lung
Ground Glass Opacity
Retrospective study
Fever
