CAJ | 학술논문

目的：探讨多层螺旋CT(MSCT)在成人新发肺结核诊断中的应用价值。方法98例成人新发肺结核患者作为研究对象。对所有患者分别应用X线平片及MSCT进行胸部扫描，根据影像学结果进行诊断及病情评价，判断MSCT应用在成人新发肺结核诊断中的临床价值。结果 MSCT检出新发肺结核89例(90.82%)， X线平片检出75例(76.53%)，两种方法比较差异有统计学意义(P<0.05)；MSCT定位肺内病变患者71例，肺内隐蔽性病变18例，与X线平片结果比较差异有统计学意义(P<0.05)。结论 MSCT应用检查成人新发肺结核可提高其临床诊断正确率，明确病灶类型及定位，对在早期及时控制肺结核传播、防止患者肺结核病情进展具有重要意义。
목적：탐토다층라선CT(MSCT)재성인신발폐결핵진단중적응용개치。방법98례성인신발폐결핵환자작위연구대상。대소유환자분별응용X선평편급MSCT진행흉부소묘，근거영상학결과진행진단급병정평개，판단MSCT응용재성인신발폐결핵진단중적림상개치。결과 MSCT검출신발폐결핵89례(90.82%)， X선평편검출75례(76.53%)，량충방법비교차이유통계학의의(P<0.05)；MSCT정위폐내병변환자71례，폐내은폐성병변18례，여X선평편결과비교차이유통계학의의(P<0.05)。결론 MSCT응용검사성인신발폐결핵가제고기림상진단정학솔，명학병조류형급정위，대재조기급시공제폐결핵전파、방지환자폐결핵병정진전구유중요의의。
Objective To investigate the application vaule of multi-slice CT (MSCT) in the diagnosis of adult new-onset pulmonary tuberculosis. Methods A total of 98 adult patients with new-onset pulmonary tuberculosis were selected as the study objects. All patients underwent X-ray and chest MSCT scans. Diagnosis and condition assessment were made by imaging results, then the clinical value of MSCT in diagnosis of adult new-onset pulmonary tuberculosis was determined. Results MSCT detected 89 cases of new-onset pulmonary tuberculosis (90.82%), and X-ray detected 75 cases (76.53%). The difference between the two methods was statistically significant (P<0.05). MSCT positioning showed 71 cases with lung lesions and 18 cases with pulmonary lesions concealment, which had significant difference from the X-ray results (P<0.05). Conclusion MSCT in checking adult new-onset pulmonary tuberculosis can improve the accuracy of clinical diagnosis, and clarify lesion type and location of the spread of tuberculosis. It is also important for timely control and prevention of disease progression in patients with pulmonary tuberculosis.