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目的探讨CT对进展期肺结核的诊断价值。方法将50例进展期肺结核患者的临床资料进行回顾性分析,且与X线检查进行对比分析。结果 50例进展期肺结核患者中,肺炎型33例(占66.00%)、纤维增殖型10例(占20.00%)、空洞型6例(占12.00%)以及结节型1例(占2.00%);在120个病灶之中,X线诊断准确率为65.00%(78/120),CT诊断准确率为85.83%(103/120),二者诊断准确率相比,差异具有统计学意义(P<0.05)。结论 CT诊断进展期肺结核的准确率显著优于X线片,因此更适合用于诊断进展期肺结核之中。
Objective To investigate the diagnostic value of CT in advanced pulmonary tuberculosis. Methods The clinical data of 50 patients with advanced pulmonary tuberculosis were retrospectively analyzed and compared with X-ray examination. Results Of 50 patients with advanced pulmonary tuberculosis, 33 cases (66.00%) were pneumonia, 10 cases (20.00%) were fibrous proliferative, 6 cases (12.00%) were cavitary, and 1 case was nodular (2.00%). Among the 120 lesions, the accuracy of X-ray diagnosis was 65.00% (78/120), and the diagnostic accuracy rate of CT was 85.83% (103/120). There was significant difference between the two diagnostic accuracy rates (P <0.05). Conclusion CT diagnosis of advanced pulmonary tuberculosis accuracy was significantly better than the X-ray film, it is more suitable for the diagnosis of advanced pulmonary tuberculosis.