摘要
目的：对比低剂量螺旋 CT 与传统高仟伏胸片在电焊工尘肺诊断中的临床应用价值。方法选取2009年3月～2014年6月于我院接受治疗并经尘肺诊断专家组确诊的30例电焊工尘肺作为研究对象，对所有患者均行低剂量螺旋 CT 与传统高仟伏胸片检查，并严格按照尘肺诊断标准实施阅片，对比两者在检出电焊工尘肺肺内小阴影方面存在的差异。结果低剂量 CT 对电焊工尘肺肺内小阴影显示率均明显高于高仟伏胸片显示率，特别是对小阴影密集度0级及1级的显示，对比差异有统计学意义（P ＜0.05）。低剂量CT 检出焊工尘肺患者肺大泡、胸膜增厚合并发症所占比例分别为20.00%、26.67%，均明显优于高仟伏胸片的检出率，对比差异有统计学意义（P ＜0.05）。结论对电焊工尘肺肺内小阴影检测，低剂量螺旋 CT 较高仟伏胸片有明显优势，对尘肺的早期诊断与治疗具有重要价值。
Objective To investigate the application effect of low-dose spiral CT and high kilovolt chest radiography in the diagnosis of welders＇pneumoconiosis. Methods 30 cases with welders＇pneumoconiosis in our hospital for treatment and diagnosis of pneumoconiosis from March 2009 to June 2014 were selected as the research subjects,all patients underwent low-dose CT with conventional high kilovolt chest radiograph,and in strict accordance with the implementation of the diagnostic criteria for pneumoconiosis readed the piece,the differences between the two welders＇ pneumoconiosis in the detection of small pulmonary shadow aspects of existence were compared. Results The low-dose CT lung pneumoconiosis small shaded welders were significantly higher than the high kilovolt chest radiograph showed rates,especially for small shadow density 0 and 1 showed significant differences contrast（P 〈 0.05）. Lung bullae,pleural thickening combined proportion of complications in low-dose CT detected welder pneumoconiosis were 20.00%,26.67%,significantly better than the high kilovolt chest detection rate,with a significant difference （P 〈 0.05）. Conclusion Welders＇ pneumoconiosis detection of small lung shadows,low-dose spiral CT high kilovolt chest has obvious advantages,great value for the early diagnosis and treatment of pneumoconiosis.
出处
《中国医药科学》
2015年第9期171-174,共4页
China Medicine And Pharmacy
关键词
高仟伏胸片
CT
低剂量
电焊工
尘肺
阴影
High kilovolt chest
CT
Low dose
Welders
Pneumoconiosis
Shadow
