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目的:分析近期肺结核的临床表现、影像学特点,探讨肺结核各期与血清腺苷脱氨酶的关系。方法:回顾性分析61例肺结核患者的临床表现、胸部X线及CT扫描特点;将所有病例按活动性及转归分为进展期、好转期、稳定期,另随机抽取20例正常志愿者做对照组,分析比较各组血清腺苷脱氨酶水平。结果:61患者均符合肺结核的临床表现和(或)影像学等特点,进展期24例,好转期16例,稳定期21例,血清腺苷脱氨酶水平检测结果显示进展期和好转期患者血清腺苷脱氨酶水平较稳定期及对照组高(P<0.01),且进展期血清腺苷脱氨酶水平高于好转期((P<0.05),稳定期与对照组比较,血清腺苷脱氨酶水平统计无显著差异(P>0.05)。结论:影像学检查是肺结核诊断的基本手段;血清腺苷脱氨酶检测可考虑作为肺结核的辅助诊断之一。
OBJECTIVE: To analyze the clinical manifestations and imaging features of recent pulmonary tuberculosis and explore the relationship between serum adenosine deaminase and various stages of pulmonary tuberculosis. Methods: The clinical manifestations, chest X-ray and CT scan characteristics of 61 patients with pulmonary tuberculosis were retrospectively analyzed. All patients were divided into progressive stage, transitional stage and stable stage according to their activity and outcome. Twenty normal volunteers were randomly selected Control group, analysis and comparison of serum adenosine deaminase level in each group. Results: All of the 61 patients were in accordance with the clinical manifestations and / or imaging features of tuberculosis. Among them, 24 were advanced, 16 were improved, and 21 were stable. The serum adenosine deaminase level showed that patients with advanced stage and advanced stage The level of serum adenosine deaminase was higher than that of the control group (P <0.01), and the level of serum adenosine deaminase in advanced stage was higher than that of the control group (P <0.05). Compared with the control group, (P> 0.05) .Conclusion: Imaging examination is the basic method for the diagnosis of pulmonary tuberculosis. Serum adenosine deaminase test can be considered as one of the auxiliary diagnosis of pulmonary tuberculosis.