摘要
目的探讨对比床旁肺部超声和胸部X线对新生儿气胸的诊断敏感性、特异性及诊断时效性来评价床旁肺部超声在新生儿气胸中的诊断价值。方法选取我科自2017年9月~2018年12月收入的60例疑似气胸患儿为研究对象,先后进行肺部超声和胸部X线检查,以胸部CT为诊断"金标准",比较床旁肺部超声、胸部X线在新生儿气胸中的诊断灵敏性、特异性及诊断时效性。结果60例疑似患儿中确诊为气胸的有49例;床旁肺部超声诊断敏感度为97.96%,特异性为100.00%;胸部X线诊断敏感度为83.67%,特异性为81.81%;超声检查完成时间(9.2±3.5)min,X线需(34.1±10.3)min,(t=3.11,P<0.001),差异具有统计学意义。结论床旁肺部超声对新生儿气胸的诊断敏感性高,特异性强,诊断时效性高于胸部X线,可作为新生儿气胸诊断的首选检查方法。
Objective To evaluate the diagnostic value of bedside ultrasound in neonatal pneumothorax by comparing the sensitivity,specificity and diagnostic timeliness of bedside ultrasound and chest X-ray.Methods Sixty patients with suspected pneumothorax from September 2017 to December 2018 were enrolled in the study.Pulmonary ultrasound and chest X-ray examinations were performed.We compared the sensitivity,specificity and diagnostic timeliness of bedside lung ultrasound and chest X-ray in neonatal pneumothorax with chest CT as the"gold standard"for diagnosis.Results 49 of 60 patients with suspected pneumothorax were diagnosed with pneumothorax finally.The diagnosis sensitivity of bedside ultrasound was 97.96%,the specificity was 100.00%;the chest X-ray diagnosis sensitivity was 83.67%,the specificity was 81.81%;the ultrasound examination completion time was in(9.2±3.5)minutes,and the X-ray required(34.1±10.3)minutes,(t=3.11,P<0.001),the difference was statistically significant.Conclusion Bedside lung ultrasound has high sensitivity and high specificity for the diagnosis of neonatal pneumothorax.And the diagnostic timeliness is higher than the chest X-ray,which can be used as the first choice for the diagnosis of neonatal pneumothorax.
作者
张德健
陈晨
李晓
赵晨
赵宁
郭新元
薛江
ZHANG Dejian;CHEN Chen;LI Xiao;ZHAO Chen;ZHAO Ning;GUO Xinyuan;XUE Jiang(The Second Hospital of Shandong University,Jinan 250033,P.R.China;Chinese PLA Support Force No.960 Hospital,Jinan 250031,P.R.China;Shandong Medical Imaging Research Institute Affiliated to Shandong University,Jinan 250021,P.R.China)
出处
《医学影像学杂志》
2019年第7期1115-1118,共4页
Journal of Medical Imaging
关键词
新生儿气胸
超声诊断
床边
X线摄影
Neonatal pneumothorax
Ultrosonic diagnosis
Bedside
X-ray phetography
