间质性肺疾病患者肺超声评分与肺功能相关性的初步探讨

发布时间：2018-03-20 11:25

本文选题：肺疾病　切入点：间质性　出处：《中国临床医学影像杂志》2017年03期 　论文类型：期刊论文

【摘要】：目的:探讨间质性肺疾病(ILD)患者肺超声评分与肺功能的相关性。方法:43例临床资料完整的ILD患者,1周内均行HRCT、肺超声、肺功能检查,按照肺超声图像表现(胸膜厚度、胸膜表面情况、胸膜下结节、B线条数最多的一个切面所显示的B线条数)进行肺超声评分,与肺功能指标(第1 s用力呼气容积(FEV1)、用力肺活量(FVC)、肺总量(TLC)、残气量(RV)、肺一氧化碳弥散量(D_LCO)、弥散系数(D_LCO/V_A))、胸部HRCT图像表现进行相关分析。结果:肺超声评分总分、胸膜评分、B线评分与部分肺功能指标(FVC、FEV1、D_LCO、D_LCO/V_A)呈负相关,其中D_LCO与肺超声评分总分(r=-0.570,P0.000),胸膜评分(r=-0.563,P0.000)、以及B线评分(r=-0.594,P0.000)相关关系最显著,肺超声评分在HRCT间质病变早期和晚期图像间差异有统计学意义(P0.05)。结论:ILD的肺超声评分与肺功能的主要指标呈负相关,肺超声评分在HRCT间质病变早期和晚期图像间差异有统计学意义,肺超声评分可以在一定程度上反映肺部受累的严重程度。
[Abstract]:Objective: to investigate the correlation between pulmonary ultrasound score and pulmonary function in patients with interstitial lung disease (ILD). Methods: 43 ILD patients with complete clinical data were performed HRCTs, pulmonary ultrasound and pulmonary function examination within one week. On the surface of the pleura, the number of B-lines displayed on the section with the largest number of B-lines in the subpleural nodule) was evaluated by pulmonary ultrasound. Correlation analysis was carried out with the indexes of pulmonary function (FEV1, FEV1, FVC, TLCV, RV, DLCOC, DLCOC, DLCO-1, DLCO-VAQ, DLCO-1, DLCO-VAQ, and HRCT images, respectively. Results: the total score of pulmonary ultrasound, the total score of pulmonary ultrasound, the total score of pulmonary ultrasound, the total score of pulmonary ultrasound, the total score of pulmonary ultrasound, the total score of pulmonary ultrasound, the total score of pulmonary ultrasound, the total score of pulmonary ultrasound, the total score of pulmonary ultrasound, There was a negative correlation between the pleural score B line score and some pulmonary function indexes (FVC / FEV _ 1 / D _ L _ (COD1) / D _ L _ (CO / VA)). The correlation between DLCO and the total score of pulmonary ultrasound was r ~ (-0.570) P _ (0.000), the pleural score was r ~ (-0.563) P _ (0.000), and the B line score was -0.594 / P _ (0.000). There was significant difference between the early and late stage of HRCT interstitial lesions (P 0.05). Conclusion there is a negative correlation between the lung ultrasound score of HRCT and the main indexes of pulmonary function. There was significant difference between the early and late stage of HRCT interstitial lesions, and the pulmonary ultrasound score could reflect the severity of lung involvement to some extent.
【作者单位】：广西壮族自治区人民医院超声科;
【分类号】：R563;R445.1

【相似文献】