胸部X线和螺旋CT诊断创伤性湿肺的价值研究

发布时间：2018-04-15 23:37

本文选题：胸部X射线普查 + 体层摄影术　；参考：《实用医学影像杂志》2016年06期

【摘要】：目的总结分析胸部X线与螺旋CT诊断创伤性湿肺的临床价值。方法选择2014年2月至2016年2月我院收治的50例创伤性湿肺患者为研究对象,进行胸部X线与螺旋CT扫描诊断,回顾分析其临床影像学资料,总结其临床诊断价值。结果 50例创伤性湿肺患者经胸部X线与螺旋CT诊断38例病灶分布在中下肺野,单侧病灶17例,双侧病灶33例。间质性15例,弥漫实变型11例,云雾型16例,节段实变型8例。胸部X线与螺旋CT在创伤性湿肺诊断中对液气胸、斑片状影、片状密度影及局部肺野毛玻璃样的检出率相近,差异无统计学意义(P0.05),但螺旋CT对类圆形密度影、跨叶跨段分布、肋骨骨折检出率分别为18.0%、18.0%、62.0%,明显优于胸部X线,且差异具有统计学意义(P0.05)。结论胸部X线结合临床体征及症状检查是筛选创伤性湿肺的首选手段,其中胸部X线是其临床诊断基础。而螺旋CT诊断创伤湿肺的准确性明显高于胸部X线,能为后续治疗方案的选择提供参考依据。
[Abstract]:Objective to summarize and analyze the clinical value of chest X-ray and spiral CT in the diagnosis of traumatic wet lung.Methods 50 patients with traumatic wet lung from February 2014 to February 2016 were selected for chest X-ray and spiral CT scanning. The clinical imaging data were analyzed retrospectively and the clinical diagnostic value was summarized.Results 50 cases of traumatic wet lung were diagnosed by chest X-ray and spiral CT, 38 cases were located in the middle and lower lung field, 17 cases were unilateral lesions, 33 cases were bilateral lesions.There were 15 cases of interstitial type, 11 cases of diffuse solid type, 16 cases of cloud type and 8 cases of segmental solid type.The detectable rate of pneumothorax, patchy shadow, flake density shadow and local pulmonary fiberglass were similar between chest X-ray and spiral CT in the diagnosis of traumatic wet lung, but there was no significant difference between them (P 0.05).The detection rate of rib fracture was 18.0 and 18.0 respectively, which was significantly better than that of chest X-ray, and the difference was statistically significant (P 0.05).Conclusion chest X-ray combined with clinical signs and symptoms is the first choice for screening traumatic wet lung, of which chest X-ray is the basis of clinical diagnosis.The accuracy of spiral CT in the diagnosis of traumatic wet lung was significantly higher than that in chest X-ray.
【作者单位】：河南省安阳市第三人民医院CT室;
【分类号】：R655.3;R816.41

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