Objective To explore the chest CT features of drug-resistant pulmonary tuberculosis complicated with diabet-ic patients,in order to improve the understanding of its imaging findings.Methods A retrospective study was performed between 55 cases of drug-resistant pulmonary tuberculosis with diabetes mellitus(referred to as"concurrent DM group")admitted to Anhui Chest Hospital from June 2022 to May 2023 and 80 cases of drug-resistant pulmonary tuberculosis with-out diabetes mellitus(referred to as"non-concurrent DM group")who met the inclusion criteria during the same period,and the chest CT features of the two groups were compared and analyzed.Results In the concurrent DM group,the de-tection rates of destroyed lung,lobar and segmental consolidation or caseous pneumonia and tuberculous pleurisy were 32.73％(18/55),36.36％(20/55)and 41.82％(23/55),respectively,and the non-concurrent DM group were 13.75％(11/80),20.00％(16/80)and 23.75％(19/80),respectively.The differences between the two groups were statistically significant(X2=6.959,4.463,4.965,P＜0.05).In the concurrent DM group,the detection rates of case of cavities and cavities without wall were 89.09％(49/55),54.82％(108/197),respectively,and the non-concurrent DM group were 67.50％(54/80),44.09％(82/186),respectively.The differences between the two groups were sta-tistically significant(X2=8.401,4.411,P＜0.05).Conclusion The chest CT features of drug-resistant pulmonary tu-berculosis with diabetes mellitus has certain characteristics,which are more manifested as destroyed lung,lobar and seg-mental consolidation or caseous pneumonia,and multiple cavities without wall.Effective understanding of the imaging characteristics can provide help for early clinical diagnosis and treatment.
关键词
糖尿病/结核,肺/抗药物性/体层摄影术,X线计算机/诊断显像
Key words
Diabetes mellitus/Tuberculosis,Pulmonary/Drug-resistant/Tomography,X-ray and computer/Diagnostic imaging
维普
万方数据