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目的:对慢性阻塞性肺疾病合并肺结核的影像表现进行分析探讨,为今后的临床诊断工作提供可靠的参考依据。方法:抽取在2013年1月-2014年12月间我院收治的临床确诊慢性阻塞性肺疾病合并肺结核患者136例和同期收治慢性阻塞性肺疾病合并肺部感染患者136例,分别定义为观察组和对照组,对其展开影像学检查,并对检查结果进行对比分析。结果:经对比发现,观察组患者多形态病灶混合存在所占比例较对照组高(P<0.05);观察组合并积液或者是胸膜改变、空洞、膈面粘连、钙化检出率均较对照组高(P<0.05)。结论:慢性阻塞性肺疾病合并肺结核患者的影像学特征显著,与其他肺疾病可以进行明显区分,临床诊治中应对其给予足够的重视。
Objective: To analyze and discuss the imaging manifestations of pulmonary tuberculosis complicated with chronic obstructive pulmonary disease (COPD), and provide a reliable reference for clinical diagnosis in the future. Methods: 136 patients with clinically diagnosed chronic obstructive pulmonary disease and pulmonary infection were enrolled in our hospital from January 2013 to December 2014. 136 patients with chronic obstructive pulmonary disease and pulmonary infection were enrolled in this study. They were defined as observation Group and control group, to carry out imaging examination, and comparative analysis of test results. Results: Compared with the control group, the proportion of polymorphic lesions in the observation group was higher than that in the control group (P <0.05). The detection rate of combination of effusion or pleura, empty cavity, diaphragmatic surface adhesions and calcification was higher than that of the control group Group high (P <0.05). Conclusion: The imaging features of patients with chronic obstructive pulmonary disease complicated with pulmonary tuberculosis are significant, which can be distinguished from other lung diseases. They should be given enough attention in clinical diagnosis and treatment.