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目的探讨肺结核高分辨率CT(HRCT)表现、半定量评分及其与酶联免疫斑点形成细胞数的相关性,为活动性肺结核临床诊断提供依据。方法①对203例临床诊断为肺结核患者进行HRCT检查和酶联免疫斑点形成细胞数分组检测。②对肺结核各组CT评分与酶联免疫斑点形成细胞数进行统计分析,比较各组间的相关性及有无差异。结果①一侧继发性肺结核组、两侧继发性肺结核组、结核性胸膜炎组及结核控制组HRCT评分分值与不同抗原的酶联免疫斑点形成细胞数检测值一致性较好。②血行播散性肺结核组HRCT评分与不同抗原的酶联免疫斑点形成细胞数检测值一致性较低。结论 HRCT评分分值中除血行播散性肺结核组外,其他各组评分分值与酶联免疫斑点形成细胞数的相关性较好,提示活动性结核病的可能性大。
Objective To investigate the expression of high resolution CT (HRCT), semi-quantitative score of pulmonary tuberculosis (CTCT) and its correlation with the number of ELF-labeled cells in order to provide a basis for clinical diagnosis of active pulmonary tuberculosis. Methods ① 203 cases of clinically diagnosed pulmonary tuberculosis patients were examined by HRCT and enzyme-linked immunosorbent assay. (2) Statistical analysis was made on the CT score and the number of ELISPF-forming cells in each group of tuberculosis, and to compare the correlation and differences between the groups. Results ① The HRCT scores of one side of the secondary tuberculosis group, the bilateral secondary tuberculosis group, the tuberculous pleurisy group and the tuberculosis control group were in good agreement with those of the different antigens. ② The hematological disseminated pulmonary tuberculosis HRCT score and different antigens of the enzyme-linked immunosorbent assay lower the consistency of the number of cells. Conclusions The scores of HRCT scores except disseminated disseminated tuberculosis group in other groups have good correlation with the number of ELF-labeled cells, suggesting that there is a high possibility of active tuberculosis.