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目的:探讨不典型肺结核的X线及CT诊断价值。方法:选取兴宁鸿惠医院2014年1月至2016年1月不典型肺结核患者82例,所有患者均行X线和CT检查诊断,对比X线和CT诊断效果。结果:CT检查对肺叶实变型、肿块结节、淋巴结肿大、支气管结核各病型诊断符合率对比,差异无统计学意义(P>0.05),X线检查对肺叶实变、肿块结节诊断符合率均比对淋巴结肿大、支气管结核诊断符合率高,差异具有统计学意义(P<0.05),CT各病型诊断符合率均比X线各病型诊断符合率高,CT整体诊断符合率比X线整体诊断符合率高,差异具有统计学意义(P<0.05)。结论:不典型肺结核采用CT检查能够为临床诊断提供更加可靠的依据,应用价值比X线高,但不典型肺结核病灶多样、复杂,需结合其他检查进行判断。
Objective: To investigate the diagnostic value of X-ray and CT in diagnosis of atypical pulmonary tuberculosis. Methods: 82 patients with atypical pulmonary tuberculosis from January 2014 to January 2016 in Xingning Honghui Hospital were selected. All patients underwent X-ray and CT examinations to compare the diagnostic results of X-ray and CT. Results: There was no significant difference in the coincidence rate of CT examination between diagnosis of lobectomy, mass nodules, lymph node enlargement and bronchial tuberculosis (P> 0.05). X-ray examination was used to diagnose pulmonary edema and mass nodules The coincidence rate was higher than that of lymph node enlargement and bronchial tuberculosis diagnosis, and the difference was statistically significant (P <0.05). The coincidence rate of diagnosis of each type of CT was higher than that of diagnosis of X-ray and CT diagnosis was consistent The rate of overall rate of X-ray diagnosis with high compliance, the difference was statistically significant (P <0.05). Conclusion: CT examination of atypical pulmonary tuberculosis can provide a more reliable basis for clinical diagnosis, and its value is higher than that of X-ray. However, the atypical pulmonary tuberculosis is diverse and complex, and it needs to be judged in combination with other tests.