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(P<0.05)。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。
Objective To analyze clinical application value by CT in diagnosis of pediatric mycoplasma pneumoniae pneumonia. Methods A retrospective analysis was made on clinical data of 500 children patients with pathologically diagnosed pediatric mycoplasma pneumoniae pneumonia. All patients received CT and X-ray examination, and clinical effects of the two diagnosis measures were compared. Results Among 500 pediatric mycoplasma pneumoniae pneumonia cases, there were 451 diagnosed cases by CT, with diagnosis rate as 90.2%, and there were 325 diagnosed cases by X-ray, with diagnosis rate as 65.0%. CT Showed obviously higher diagnosis rate of pediatric mycoplasma pneumoniae pneumonia than X-ray, and their difference had statistical significance （P〈0.05）. Both CT and X-ray showed imaging characteristics of 500 cases as consolidation of lung tissue. Main manifestations of X-ray included interstitial invasion, increasing and thickening lung marking, unclear border, mixed or alveolar types in patients. CT had main manifestations as uneven high density shadow, complicated pulmonary atelectasis or pleural effusion in patients. Conclusion Comparing with X-ray diagnosis, CT shows clearer lesion imaging in diagnosis of pediatric mycoplasma pneumoniae pneumonia, along with high accuracy. It contains clinical application value and is worth promoting.
出处
《中国实用医药》
2016年第32期48-50,共3页
China Practical Medicine
关键词
CT
X线
小儿肺炎支原体肺炎
CT
X-ray
Pediatric mycoplasma pneumoniae pneumonia
