摘要
目的探讨煤矽肺患者胸部X线片与CT影像学特征及检查差异性。方法收集2005年2月至2016年12月本院诊治70例煤矽肺患者临床资料,进行回顾性分析,并对比患者胸部X线和CT影像学特征及临床诊断价值。结果胸部CT在煤矽肺患者中诊断率显著高于X线,P<0.05;两者对煤矽肺分期诊断无统计学意义,P>0.05;胸部CT在煤矽肺胸膜增厚、肺气肿、空洞、钙化及淋巴结受累中检出率显著高于X线,P<0.05。结论胸部CT对煤矽肺诊断率高于X线,更易发现煤矽肺相关合并症,对X线不能识别病变具有良好检出率。
Objective To investigate the characteristics of chest X-ray and CT imaging and their differences on examination forpatients with coaX silicosis. Method By colXecting the clinical data of 70 patients with coal silicosis who were treated in our hospitalfrom February 2005 to December 2016 and conduct retrospective analysis. On this basis, comparison was made of the characteristicsand clinical diagnostic value of chest X-ray and CT imaging which the patients underwent. Result The diagnostic rate of chest CT forpatients with coal silicosis was significantly higher than that of X ray （ P 〈0. 05 ）. There was no statistic difference between the twogroups in the staging diagnosis of coal silicosis （ P〉0. 05 ）. The detection rates of chest CT in the thickening of pulmonary pleura, em-physema, void, calcification and lymph node involvement were significantly higher than those of X-ray （P 〈0. 05 ）. ConclusionChest CT has a higher diagnostic rate of coal silicosis than X-ray, and it can easily find coal silicosis related complications. Moreover,chest CT possesses satisfactory detection rate of the disease which X-ray can not identify.
出处
《锦州医科大学学报》
CAS
2017年第4期22-24,I0004,共4页
Journal of Jinzhou Medical University
基金
东莞市科技计划项目
项目编号:201610515000786
关键词
煤矽肺
胸部X线
CT
诊断
coal silicosis
chest X-ray
CT
diagnosis
