Clinical value of CT in evaluation of anti -tuberculosis chemotherapy in elderly patients with active tuberculosis
10.3760/cma.j.issn.1008-6706.2016.05.027
- VernacularTitle:CT 检查用于老年人活动性肺结核治疗效果的评估价值
- Author:
Guofang ZHU
;
Xinyun SHI
- Publication Type:Journal Article
- Keywords:
Active tuberculosis;
Aged;
Anti -tuberculosis chemotherapy;
Tomography,X -ray computed
- From:
Chinese Journal of Primary Medicine and Pharmacy
2016;23(5):740-742,743
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the activity signs and clinical value of CT in evaluation of anti -tuberculosis chemotherapy in elderly patients with active tuberculosis.Methods Clinical and imaging data of 78 cases with elderly active tuberculosis were retrospectively analyzed.The changes of CT sign between bacterium negative and posi-tive,before and after chemotherapy were compared.Results The detection rates of ground glass opacity,thick -walled cavity in bacterium positive were 72.1% and 55.8%,which were significantly higher than those in bacterium negative 45.7% and 28.6%(P <0.05).Compared with before chemotherapy,the detection rates of ground glass opacity,tree -in -bud,thick -walled cavity,pulmonary consolidation,centrilobular nodule,lobular consolidation after chemotherapy were significantly reduced(P <0.05).The active CT signs of ground glass opacity,tree -in -bud were completely absorbed,and other signs were lapsed to non -active signs including cord -like shadow,thin -walled cav-ity,calcification,bronchia aggregation and circuity.Conclusion There is conversion rule of CT signs in elderly active pulmonary tuberculosis before and after anti -tuberculosis chemotherapy,and CT is helpful in the evaluation of anti -tuberculosis chemotherapy results of active tuberculosis.
