肺结核诊断中低剂量螺旋CT和X线平片的临床应用效果

孙元春

（陕西省宝鸡市岐山县妇幼保健院影像科，陕西 宝鸡，722405）

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摘要：

目的 分析肺结核诊断中低剂量螺旋CT和X线平片的临床应用效果。方法 回顾性分析92例肺结核患者的临床资料， 所有患者均给予低剂量螺旋CT检查与X线平片检查，按照检查方式分为研究组（低剂量螺旋CT）与对照组（X线平片）。对 比两组患者的漏诊率、误诊率、符合率与肺结核典型病理特征率。结果 研究组的诊断符合率显著高于对照组，临床误诊率、 漏诊率显著低于对照组（P<0.05）；研究组的肺结核典型病理特征的检出率显著高于对照组，差异有统计学意义（P<0.05）。结论 低剂量螺旋CT 应用于肺结核诊断中的符合率显著高于X线平片，值得在临床诊断工作中推广运用。

关键词：肺结核；低剂量螺旋CT；X 线平片

中图分类号：R521；R816.41文献标志码：A文章编号：2096-1413(2017)09-0124-02

Clinical application effect of low dose spiral CT and X-ray plain filmdiagnosis of in the pulmonary tuberculosis
SUN Yuan-chun
（Department of Radiology, Maternal and Child Health Care Hospital of Qishan County, Baoji 722405, China）

ABSTRACT: Objective To analyze the clinical effect of low dose spiral CT and X -ray plain film in the diagnosis of pulmonary tuberculosis. Methods The clinical data of 92 cases of patients with pulmonary tuberculosis admitted in our hospital were retrospectively analyzed. All the patients received low dose spiral CT or X-ray plain film examination, and were divided into study group and control group according to different modes of examination. The study group accepted low dose spiral CT, while the control group received X-ray plain film. The missed diagnosis rate, misdiagnosis rate, accordance rate and the typical pathological characteristics rate of pulmonary tuberculosis of the two groups were compared. Results The accordance rate of the study group was higher than that of the control group, and the missed diagnosis rate and misdiagnosis rate of the study group were lower than those of the control group (P <0.05). The typical pathological characteristics rate of pulmonary tuberculosis of the study group was higher than that of the control group (P<0.05).Conclusion The accordance rate of the low dose spiral CT in the diagnosis of pulmonary tuberculosis is significantly higher than X-ray plain film, it is worthy to be popularized in clinical examination and diagnosis work.
KEYWORDS: pulmonary tuberculosis; low dose spiral CT; X-ray plain film

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