CT在支原体肺炎中的影像特点及应用价值探析

发布时间：2018-03-24 04:01

本文选题：CT　切入点：支原体肺炎　出处：《中外医疗》2016年31期

【摘要】：目的探析CT在支原体肺炎中的影像特点及应用价值。方法方便选择该院2013年9月—2015年9月收治的62例患者进行研究,以年龄大小实行分组,31例成人支原体肺炎患者为此次研究的研究组,而31例未成年支原体肺炎患儿为对照组,两组均接受CT扫描检查,并对比组的CT检查影像特点进行对比。对全部患者治疗前和治疗后2周、4周的影像学进行分析,并对比两组的影像学特征。结果全部患者入院治疗后2周,磨玻璃样变和小斑片状或结节状实变影等影像学表现均消失,其中表现为大片状实变影、纵隔淋巴结肿大和胸腔积液的仅有2例,均为6.45%,少于入院时的25.81%和77.42%,P0.05,纵隔淋巴结肿大1例,占3.23%,少于入院时的12.90%;经过4周的时间治疗后,各项影像学特征均消失。研究组的磨玻璃样变、小斑片状或结节状实变影还有树芽征这几个影像学特征表现上的比重分别为77.78%、75.00%和80.00%,明显多于对照组的22.22%、25.00%和20.00%,P0.05;而支气管血管束增粗、大片状实变影、纵隔淋巴结肿大还有胸膜腔积液的比重为33.33%、12.50%、0.00%和29.17%,则小于对照组的66.67%、87.50%、100.00%和70.83%,P0.05。结论将CT扫描检查方法应用在支原体肺炎患者的临床诊断上,能够获得较为明显的影像学特点,进而提升患者的临床诊断效率,值得推广。
[Abstract]:Objective to explore the imaging features and application value of CT in mycoplasma pneumonia. Methods 62 patients admitted in our hospital from September 2013 to September 2015 were selected for study. 31 adult patients with mycoplasma pneumonia were divided into two groups according to age, and 31 cases of minor mycoplasma pneumonia as control group. Both groups were examined by CT scan. The imaging features of all the patients before and 2 weeks after treatment were analyzed, and the imaging features of the two groups were compared. Results all the patients were treated 2 weeks after admission. Among them, there were only 2 cases of mediastinal lymphadenopathy and pleural effusion. All of them were 6.45, less than 25.81% of admission and 77.42% of P0.05, 1 case of mediastinal lymphadenopathy (3.23%), less than 12.90% on admission. After 4 weeks of treatment, all the imaging features disappeared. The specific proportions of small spot or nodular solid shadow and tree bud sign were 77.78% and 80.00000% respectively, which were significantly higher than those of the control group (22.22%, 25.00% and 20.00%, P 0.05), while the bronchovascular bundle was thickened, and the large lamellar solid shadow was larger than that of the control group (22.22% and 20.00%, P 0.05). The proportions of mediastinal lymphadenopathy and pleural effusion were 33.33% 12.50% and 29.17%, which were less than those of the control group (66.6777.50g / 100.00% and 70.83P 0.05respectively). Conclusion CT scan can be used in the clinical diagnosis of mycoplasma pneumonia. Therefore, it is worth popularizing to improve the clinical diagnosis efficiency of patients.
【作者单位】：泉州市第一医院影像科;
【分类号】：R563.1;R816.41

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