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目的 探讨 2型糖尿病合并肺结核CT及临床表现特点。方法 本文 40例 2型糖尿病合并肺结核患者全部作了常规胸部CT扫描及部分病灶局部区高分辨率CT(High -ResolutionCT ,简称 :HRCT) (HighRateCT简称HRCT) ,18例作了增强扫描 ,注射对比剂 10 0ml。结果 本组 40例共 75个肺段发现病变 ,CT影像以活动性病变占多 ,其中以实变为主 13例 (3 2 .5 % )、空洞 7例 (17.5 % )、结节和肿块 14例 (3 5 % )、斑片影 6例。 (15 % )。结论 影像表现的多样性 ,临床表现不典型是 2型糖尿病并发肺结核的特点。
Objective To investigate the CT features and clinical features of type 2 diabetes mellitus combined with pulmonary tuberculosis. Methods All 40 patients with type 2 diabetes mellitus complicated with pulmonary tuberculosis underwent conventional chest CT scan and partial high resolution CT (HRCT) (HRCT). Eighteen patients underwent enhanced scan and contrast injection Agent 10 0ml. Results The lesions of 40 lung segments were found in 40 cases in this group. The CT images were mainly active lesions. Of them, 13 cases (32.5%) were mainly solid lesions and 7 (17.5%) were empty. The nodules and masses 14 cases (35%), 6 cases of patchy. (15%). Conclusion The diversity of imaging manifestations and atypical clinical manifestations are the characteristics of type 2 diabetes complicated with pulmonary tuberculosis.