新型隐球菌肺炎患者的X线与多层螺旋CT临床诊断分析

发布时间：2018-05-16 15:22

本文选题：新型隐球菌肺炎 + X线　；参考：《中华医院感染学杂志》2017年16期

【摘要】：目的探讨X线和多层螺旋CT对新型隐球菌肺炎患者的临床诊断价值。方法选取医院2015年1月-2016年12月收治的76例新型隐球菌肺炎患者,40例为螺旋CT检查组,行X线检查的患者36例为X线检查组,比较两种方法的诊断价值。结果 76例新型隐球菌肺炎患者微生物培养阳性65例,阳性率85.53%;76例隐球菌肺炎中病变位于双侧肺部41例,肺叶下部43例,肺部外周46例;CT检查组在磨玻璃影、空洞、晕征、空气支气管征、肿大淋巴结、分叶及合并网格影等征象的检出率方面均显著高于X线检查组,差异有统计学意义(P0.05);CT检查组在结节/肿块型、实变型、肺炎样浸润型、空洞型、混合型等方面的检出率高于X线检查组,且差异有统计学意义(P0.05)。结论微生物培养阳性率高,可以作为新型隐球菌肺炎的一种诊断方法;CT检查在新型隐球菌肺炎中诊断价值高于胸部X线检查,更值得在临床推广应用;确诊有赖于纤维支气管镜或穿刺活检病理证实。
[Abstract]:Objective to explore the clinical diagnostic value of X - ray and multislice spiral CT in patients with cryptococcal pneumonia. Methods 76 patients with cryptococcal pneumonia admitted in December January 2015 -2016 were selected, 40 cases were spiral CT examination group, 36 cases of X - ray examination were X-ray examination group, and the diagnostic value of two methods were compared. Results 76 cases of new hidden balls were found. Bacterial pneumonia was positive in 65 cases, positive rate was 85.53%, 76 cases of Cryptococcus pneumonia in 41 cases in bilateral lung, 43 cases in the lower lobe of lung, 46 cases in lung peripheral, and CT examination group was significantly higher than X-ray examination in the detection rate of glass shadow, cavity, halo sign, air bronchus sign, swollen lymph node, lobulated lymph node and mesh and mesh shadow. The difference was statistically significant (P0.05). The detection rate of CT examination group in nodular / mass type, real variant, pneumonia like infiltration type, cavity type and mixed type was higher than that of X-ray examination group, and the difference was statistically significant (P0.05). Conclusion the positive rate of microorganism culture is high, which can be used as a diagnostic method for new Cryptococcus pneumoniae; CT examination is a new type of diagnosis. The diagnostic value of Cryptococcus pneumoniae is higher than that of chest X-ray. It is more worthy of clinical application. The diagnosis depends on fiberoptic bronchoscopy or biopsy.

【作者单位】：宁波市第一医院放射科;宁波市第二医院放射科;
【基金】：浙江省医药卫生研究计划基金资助项目(2014KYA170)
【分类号】：R519.4;R816.41

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