Evaluation of spiral CT in the diagnosis of splenic tuberculosis / 中国基层医药

ABSTRACT

Objective To investigate whether spiral CT is helpful for the diagnosis of splenic tuberculosis.Methods During the recent six years in our hospital,forty splenic tuberculosis patients diagnosed by spiral CT were enrolled in this study.Combined with pathological biopsy and clinical diagnosis and treatment,the accuracy and clinical effect of spiral CT in diagnosis of splenic tuberculosis were comprehensively analyzed.Results 40 patients received CT test were diagnosed as splenic tuberculosis,and 35 patients with biopsy and clinical diagnosis was consistent with the final diagnosis,with the correct rate of diagnosis 87.5％;Type spiral CT accuracy rate and patients with history of tuberculosis and lesion had obvious correlation (x2 =15.873,23.804,all P ＜ 0.01),and patients'age,gender,tumor size,anemia and erythrocyte sedimentation rate had no significant correlation (x2 =1.429,1.004,0.272,0.147,1.429,all P ＞0.05);35 cases of splenic tuberculosis patients with CT diagnosed showed multiple or diffuse nodular lesions,and the lesion size was about tuberculosis 5 ～ 45 mm.The boundary was not clear,which was characterized by low density and had no obvious enhancement.Conclusion Spiral CT is beneficial for the diagnosis of splenic tuberculosis with important clinical value.