Abstract：Objective: To explore the diagnostic value of X-ray digital body fusion (DTS), digital photography double energy subtraction (DES) and direct digital X-ray imaging (DR) in active pulmonary tuberculosis parenchymal lesions. Methods: Prospective studies were conduct on 77 patients with active pulmonary parenchyma lesions between October 2019 to October 2020 with X-ray digital layer fusion technology, digital photography, digital radiography dual energy subtraction angiography tuberculosis to detect the pathological classification, signs of tuberculosis detection, and an analysis of the relationship between the indexes and active pulmonary parenchyma lesions was conducted. Results: Compared with DR and DES, the accuracy of PATHOLOGICAL classification of NODULES or masses, tracheobronchial tuberculosis, ground glass density, pneumonia consolidation and chestnut venereal disease were higher in DTS (P<0.05). Compared with DR and DES, the diagnosis of DTS tuberculosis was higher in pleural effusion, calcification foci, tuberculous cavity, and hilar mediastinal lymph node enlargement (P<0.05). Compared with DR and DES, DTS had higher diagnostic value in active pulmonary tuberculosis parenchymal lesions (P<0.05). Conclusion: DTS is effective in the differential diagnosis of active pulmonary tuberculosis parenchymal lesions, and can also effectively evaluate the pathological classification of pulmonary tuberculosis and distinguish the detection of pulmonary tuberculosis signs, which can provide an important reference for the determination of the clinical treatment of patients.
王磊, 郭禹, 佟亚建. DTS DES DR在活动性肺结核实质病变中的诊断价值分析[J]. 河北医学, 2021, 27(10): 1682-1686.
WANG Lei, et al. Analysis of the Diagnostic Value of DTS DES DR in Active Pulmonary Tuberculosis Parenchymal Lesions. HeBei Med, 2021, 27(10): 1682-1686.
[1] Auguste P,Tsertsvadze A,Pink J,et al.Comparing interferon-gamma release assays with tuberculin skin test for identifying latent tuberculosis infection that progresses to active tuberculosis:systematic review and meta-analysis[J].BMC Infect Dis,2017,17(1):200. [2] Halliday A,Masonou T,Tolosa-Wright M,et al.Immunodiagnosis of active tuberculosis[J].Expert Rev Respir Med,2019,13(6):521~532. [3] Meintjes G,Brust JCM,Nuttall J,et al.Management of active tuberculosis in adults with HIV[J].Lancet HIV,2019,6(7):463~474. [4] 中华医学会,中华医学会杂志社,中华医学会全科医学分会,等.肺结核基层诊疗指南(2018年)[J].中华全科医师杂志,2019,18(8):709~717. [5] Bailey SL,Ayles H.Association between diabetes mellitus and active tuberculosis in Africa and the effect of HIV[J].Trop Med Int Health,2017,22(3):261~268. [6] 欧维正,刘海兰,雷毅娜,等.支气管肺泡灌洗液涂片抗酸染色、L-J培养、TB-LAMP、Xpert MTB/RIF检测在肺结核诊断中的应用比较[J].山东医药,2020,60(23):57~60. [7] Jiao D,Yang HS,Yang DY,et al.Application of digital tomosynthesis in diagnosing spinal tuberculosis[J].Clin Imaging,2016,40(3):461~464. [8] 张龙虎,张旭锋,李超,等.DR及CT在早期肺癌筛检及诊断中的价值研究[J].实用癌症杂志,2020,35(10):1639~1641. [9] 李峰,李文化.常规X射线和DTS成像技术在下肢骨折内固定术后骨痂成型过程中 的应用价值探究[J].中国医疗设备,2019,34(3):82~86.
2021, Vol. 27 
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