CT诊断小儿肺炎支原体肺炎的临床价值研究

发布时间：2018-03-24 04:07

本文选题：CT　切入点：X线　出处：《中国实用医药》2016年32期

【摘要】：目的分析CT诊断小儿肺炎支原体肺炎的临床应用价值。方法回顾性分析500例经病理学诊断为小儿肺炎支原体肺炎患儿临床资料,所有患儿均分别接受CT及X线检查,比较两种诊断方法的临床效果。结果 500例小儿肺炎支原体肺炎患儿中,CT检查确诊451例,CT检查小儿肺炎支原体肺炎的确诊率为90.2%;X线检查确诊325例,X线检查小儿肺炎支原体肺炎的确诊率为65.0%,CT检查诊断小儿肺炎支原体肺炎确诊率明显高于X线检查,比较差异具有统计学意义(P0.05)。本组500例患儿中,CT与X线检查影像学结果均为肺组织实变。其中,X线检查影像学主要表现为间质浸润型,在影像学上可表现为肺纹理增加、增粗,且具有边缘不够清楚等特征,部分患儿为混合型表现,也有患儿为腺泡型。CT检查影像学主要表现为不均匀高密度影,少部分患儿合并肺不张,部分患儿合并胸腔积液。结论与X线诊断方法相比,CT诊断小儿肺炎支原体肺炎,病灶图像更加清晰,且诊断准确率较高,更具临床应用价值,值得推广。
[Abstract]:Objective to analyze the CT diagnosis of Mycoplasma pneumoniae pneumonia clinical value. Methods Retrospective analysis of 500 cases diagnosed by pathology and clinical data in children with Mycoplasma pneumoniae pneumonia, all patients were received CT and X-ray examination, clinical effect comparison of two diagnostic methods. Results 500 cases of Mycoplasma pneumoniae pneumonia in CT 451 cases were diagnosed, CT examination of children with mycoplasma pneumonia diagnosis rate was 90.2%; 325 cases were diagnosed by X-ray examination, X-ray examination of mycoplasma pneumonia diagnosis rate was 65%, CT diagnosis of Mycoplasma pneumoniae pneumonia diagnosis rate was significantly higher than that of X-ray examination, the difference was statistically significant (P0.05). This group of 500 children, CT and X-ray imaging results for the consolidation of lung tissue. The X-ray imaging manifestations of interstitial infiltration, the imaging manifestation of lung markings increase, thickening, The edge is not clear enough and has the characteristics of children, part of the mixed type, there are children in acinar type.CT examination the imaging manifestations of inhomogeneous high density, some patients were complicated with atelectasis, some patients with pleural effusion. Conclusion compared with X-ray diagnosis method, CT diagnosis of Mycoplasma pneumoniae pneumonia, lesion image more clearly, and the diagnosis accuracy is higher, more clinical value, worthy of promotion.

【作者单位】：济源市人民医院CT室;
【分类号】：R725.6;R816.92

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