对比CT与多层螺旋CT对支气管扩张患者的诊断效果

发布时间：2018-06-05 14:00

本文选题：CT + 多层螺旋CT　；参考：《继续医学教育》2016年12期

【摘要】：目的探究CT与多层螺旋CT对支气管扩张患者的诊断效果和治疗影响,进一步完善临床对支气管扩张的诊断方式。方法根据我院2014年6月~2016年6月所收治的86例支气管扩张患者的临床治疗资料,采用随机分组方式将全部患者分为对照组和诊断组,每组各有患者43人,其中对照组采用普通CT进行诊断,诊断组采用多层螺旋CT进行诊断,对比两种诊断方式对患者病情的判断情况和诊断准确率。结果本次研究所涉及86名患者最后通过双重诊断后确诊为支气管扩张。对照组检出支气管扩张患者31人,诊断准确率为72.09%;诊断组检出支气管扩张患者43人,诊断准确率为100%。对比对照组与诊断组对支气管扩张病情的诊断准确率,诊断组优于对照组,其对比效果差异具有统计学意义(P0.05)。诊断组中1~2 mm薄层图像重建确诊支气管扩张患者43人,准确率为100%;9~10 mm薄层图像重建确诊支气管扩张患者33人,准确率为76.74%。对比诊断组中1~2mm薄层图像重建与9~10 mm薄层图像重建的检查结果,1~2 mm薄层图像重建结果对支气管扩张病情的诊断率以及对各类病情的分辨效果均优于9~10 mm薄层图像重建结果,其对比效果差异具有统计学意义(P0.05)。结论多层螺旋CT检查相比普通CT检查,其对支气管扩张确诊准确率更高,对各种疾病类型的分辨率更好、显示效果更清晰、对其疾病治疗具有积极的指导意义。
[Abstract]:Objective to investigate the effect of CT and multislice spiral CT on the diagnosis and treatment of bronchiectasis and to improve the clinical diagnosis of bronchiectasis. Methods according to the clinical data of 86 patients with bronchiectasis admitted in our hospital from June 2014 to June 2016, all patients were randomly divided into control group and diagnosis group, 43 patients in each group. The control group was diagnosed by common CT and the diagnosis group by multi-slice spiral CT. Results 86 patients were diagnosed with bronchiectasis after double diagnosis. 31 cases of bronchiectasis were detected in the control group, the diagnostic accuracy was 72.09, and the diagnostic accuracy was 100 in the diagnosis group of 43 patients with bronchiectasis. The diagnostic accuracy of bronchiectasis in the control group and the diagnosis group was better than that in the control group, and the difference was statistically significant (P 0.05). In the diagnosis group, 43 patients with bronchiectasis were diagnosed by thin-layer reconstruction with 1 ~ 2 mm thin-layer image, and 33 patients with bronchiectasis were diagnosed by thin-layer image reconstruction with a accuracy of 100 ~ 10 mm, and the accuracy rate was 76.74. The results of 1~2mm thin-layer image reconstruction and 9 ~ 10mm thin-layer image reconstruction were compared. The diagnostic rate of bronchiectasis and the resolution of all kinds of diseases were better than those of 9 ~ 10mm thin-layer image reconstruction. The difference of contrast effect was statistically significant (P 0.05). Conclusion Multi-slice spiral CT is more accurate in the diagnosis of bronchiectasis, better in the resolution of various types of diseases and clearer in the display than ordinary CT. It has a positive guiding significance for the treatment of bronchiectasis.
【作者单位】：天津市海河医院放射科;
【分类号】：R562.22;R816.4

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