Volume 22 Issue 2
Feb.  2024
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Article Navigation >  Chinese Journal of General Practice  > 2024  >  22(2): 202-205
GUO Jinlong, MIN Xuhong, SONG Biao, LI Yuan, WANG Hua. Comparative study of CT features in patients with drug-resistant pulmonary tuberculosis with or without diabetes mellitus[J]. Chinese Journal of General Practice, 2024, 22(2): 202-205. doi: 10.16766/j.cnki.issn.1674-4152.003365
Citation: GUO Jinlong, MIN Xuhong, SONG Biao, LI Yuan, WANG Hua. Comparative study of CT features in patients with drug-resistant pulmonary tuberculosis with or without diabetes mellitus[J]. Chinese Journal of General Practice, 2024, 22(2): 202-205. doi: 10.16766/j.cnki.issn.1674-4152.003365
shu

Comparative study of CT features in patients with drug-resistant pulmonary tuberculosis with or without diabetes mellitus

doi: 10.16766/j.cnki.issn.1674-4152.003365
  • 1.

    Comparative study of CT features in patients with drug-resistant pulmonary tuberculosis with or without diabetes mellitus

Funds:

 Z155080000004

  • Received Date: 2023-08-02
    Available Online: 2024-03-27
    Abstract
  •   Objective  To explore the chest CT features of drug-resistant pulmonary tuberculosis complicated with diabetic patients, in order to improve the understanding of its imaging findings.  Methods  A retrospective study was performed between 55 cases of drug-resistant pulmonary tuberculosis with diabetes mellitus (referred to as "concurrent DM group") admitted to Anhui Chest Hospital from June 2022 to May 2023 and 80 cases of drug-resistant pulmonary tuberculosis without diabetes mellitus (referred to as "non-concurrent DM group") who met the inclusion criteria during the same period, and the chest CT features of the two groups were compared and analyzed.  Results  In the concurrent DM group, the detection rates of destroyed lung, lobar and segmental consolidation or caseous pneumonia and tuberculous pleurisy were 32.73% (18/55), 36.36% (20/55) and 41.82% (23/55), respectively, and the non-concurrent DM group were 13.75% (11/80), 20.00% (16/80) and 23.75% (19/80), respectively. The differences between the two groups were statistically significant (χ2=6.959, 4.463, 4.965, P<0.05). In the concurrent DM group, the detection rates of case of cavities and cavities without wall were 89.09%(49/55), 54.82%(108/197), respectively, and the non-concurrent DM group were 67.50% (54/80), 44.09% (82/186), respectively. The differences between the two groups were statistically significant (χ2=8.401, 4.411, P<0.05).  Conclusion  The chest CT features of drug-resistant pulmonary tuberculosis with diabetes mellitus has certain characteristics, which are more manifested as destroyed lung, lobar and segmental consolidation or caseous pneumonia, and multiple cavities without wall. Effective understanding of the imaging characteristics can provide help for early clinical diagnosis and treatment.

     

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