CAJ | 학술논문

目的：分析探讨糖尿病结核患者的胸部X线及CT诊断的表现。方法选取2012年1月-2014年1月于该院就诊的50例患者(28例糖尿病结核患者，22例非糖尿病结核患者)，均进行胸部X线、CT扫描和正规降血糖、抗结核的治疗。结果50例患者中，胸部X线和CT诊断基本相同；两个月治疗后，血糖控制好组病变恶化率低于血糖控制差组，3个月及以上时间后，血糖控制好组与血糖控制差组差异无统计学意义(P>0.05)；22例非糖尿病结核患者总体病变恶化率与糖尿病结核的血糖控制好组的变化相似，与血糖控制差组差异有统计学意义(P<0.05)。结论糖尿病结核患者胸部X线及CT诊断的影像表现具有一定的特征性。
목적：분석탐토당뇨병결핵환자적흉부X선급CT진단적표현。방법선취2012년1월-2014년1월우해원취진적50례환자(28례당뇨병결핵환자，22례비당뇨병결핵환자)，균진행흉부X선、CT소묘화정규강혈당、항결핵적치료。결과50례환자중，흉부X선화CT진단기본상동；량개월치료후，혈당공제호조병변악화솔저우혈당공제차조，3개월급이상시간후，혈당공제호조여혈당공제차조차이무통계학의의(P>0.05)；22례비당뇨병결핵환자총체병변악화솔여당뇨병결핵적혈당공제호조적변화상사，여혈당공제차조차이유통계학의의(P<0.05)。결론당뇨병결핵환자흉부X선급CT진단적영상표현구유일정적특정성。
Objective To analyze and investigate the manifestations of chest X-ray and CT in patients with diabetes and tuberculosis. Methods 50 patients including 28 diabetic patients with tuberculosis and 22 tuberculosis patients without dia-betes visited the hospital from January 2012 to January 2014 were selected. Chest X-ray, CT scan, normal hypoglycemic therapy and anti-tuberculosis treatment were given to all the patients. Results The chest X-ray and CT diagnosis of the 50 patients was basically same. After two months of treatment, of the diabetic patients with tuberculosis, the lesion deterioration rate was lower in the good glycemic control subgroup than in the poor glycemic control subgroup; three months and three months later, the difference in the lesion deterioration rate between the good glycemic control subgroup and the poor glycemic control subgroup was not statistically significant (P>0.05). The overall lesion deterioration rate of 22 tuberculosis patients without diabetes was similar to that of good glycemic control subgroup of the diabetic patients with tuberculosis. The difference in the overall lesion deterioration rate between 22 tuberculosis patients without diabetes and the poor glycemic control subgroup of the diabetic patients with tuberculosis(P<0.05). Conclusion The manifestations of chest X-ray and CT of patients with diabetes and tuberculosis have certain characteristics.