CAJ | 학술논문

目的：探讨COPD合并肺结核的影像表现。方法选自在我院就诊的COPD患者263例,143例COPD合并肺结核患者分为A组,120例COPD伴肺部感染患者为B组,对两组患者病变部位及范围、病变性质特点进行分析。结果两组比较中,病变范围,病变部位累及前部,病变性质的结节状病灶、斑片状纤维化、片状渗出性病灶P>0．05；累及上叶尖后段和下叶背段,累及下叶基底段,病变性质的钙化灶、膈面粘连、多形态病灶混合、伴积液改变,差异具有统计学意义(P<0．05)。结论 COPD合并肺结核影像表现为病变范围广泛,呈多肺叶散开模式,不典型部位经常被累及,多性状病灶混合存在,病变影像改变缓慢。
목적：탐토COPD합병폐결핵적영상표현。방법선자재아원취진적COPD환자263례,143례COPD합병폐결핵환자분위A조,120례COPD반폐부감염환자위B조,대량조환자병변부위급범위、병변성질특점진행분석。결과량조비교중,병변범위,병변부위루급전부,병변성질적결절상병조、반편상섬유화、편상삼출성병조P>0．05；루급상협첨후단화하협배단,루급하협기저단,병변성질적개화조、격면점련、다형태병조혼합、반적액개변,차이구유통계학의의(P<0．05)。결론 COPD합병폐결핵영상표현위병변범위엄범,정다폐협산개모식,불전형부위경상피루급,다성상병조혼합존재,병변영상개변완만。
Objective To explore the imaging manifestations of chronic obstructive pulmonary disease com-plicated with pulmonary tuberculosis. Methods 143 cases of chronic obstructive pulmonary disease complicated with pulmonary tuberculosis were divided into the group A, and another 120 cases of chronic obstructive pulmonary disease complicated with pulmonary infection were taken as the group B. The lesions′location and range and the nature of le-sions were analyzed. Results There was no significant difference in lesions nodules, patchy fibrosis, and flaky exu-dative lesions (P>0. 05). But there were obvious differences in upper lobe segment and dorsal segment of lower lobe basal segment involvement, leaves, lesions of calcification, diaphragmatic surface adhesion, multi form lesions mixed, with effusion change (P<0. 05). Conclusion The imaging features of patients with chronic obstructive pul-monary disease complicated with pulmonary tuberculosis show a wide range of lesions, with multiple lobe spread mode and atypical sites involved. There are many traits mixed and they change slowly.