摘要
目的探讨自发性肺部气漏综合征(SALS)的临床及CT特征。方法选取本院64例SALS患者的临床和CT资料,分别进行临床分组(肿瘤组和无肿瘤组、肿瘤组内血液病组和非血液病组)和影像学分组(PIE组、混合型SALS组和PT组),并进行组间资料统计学比较。结果SALS发病率肿瘤组高于无肿瘤组(2.0%vs 0.01%)、血液病组高于非血液病组(3.9%vs 1.4%)。肿瘤组憋气症状多于无肿瘤组(62.5%vs 7.5%,P<0.01);血液病组胸闷、憋气较非血液病组多(85.7%vs 30.0%,P<0.05)、(71.4%vs 30.0%,P<0.05)。影像学分型中液气胸组胸痛多于其余3组(92.9%vs 50.0%、0.0%、30.0%,P<0.05);SALS厚度液气胸组高于其余2组〔间质性肺气肿(PIE)、混合型(SALS)〕(19.7 cm vs 3.5 cm、9.5 cm,P<0.01);液气胸组导管引流比例高于其余3组(64.3%vs 12.5%、0.0%、15.0%,P<0.05)。结论恶性肿瘤患者,尤其是血液病患者更容易并发SALS。液气胸组患者临床症状较重、SALS厚度大且导管引流比例高。
Objective To summarize the clinical and computed tomography features of pulmonary spontaneous air leak syndrome(SALS).Methods Clinical and CT data for 64 patients complicating SALS froma grade-A hospital in Tianjin were retrospectively reviewed.Patients were performed clinical grouping(the tumor group and non-tumor group;the hemopathic group and the non-hemopathic group)and imaging grouping(pulmonary interstitial emphysema group,pneumomediastinum group and pneumothorax group).Data were statistically compared between groups.Results The incidence of SALS in thetumor group was higher than that in the non-tumor group(2.0%vs 0.01%).The incidence of SALS in the hemopathic group was higher than that in non-hemopathic group(3.9%vs 1.4%).Dyspnea occurred more often in the tumor group than that in the non-tumor group(62.5%.vs.7.5%,P<0.01).Chest tightness and dyspnea occurred more often in the hemopathic group than those in the non-hemopathicgroup(85.7%vs 30.0%,P<0.05)(71.4%vs 30.0%,P<0.05).Chest pain occurred more often in the HPT group than that in the other threegroups(92.9%vs 50.0%,0.0%,30.0%,P<0.05).SALS thickness in the HPT group was greater than that in the other two groups(PIE and complex SALS)(19.7 cm vs 3.5 cm and 9.5 cm,P<0.01).Catheter drainage occurred more often in the HPT group than that in the other three groups(64.3%vs 12.5%,0.0%,15.0%,P<0.05).Conclusion Patients with malignant tumor,especialy with blood diseases,are more likely develop SALS.Patients with HPT have more severe clinical symptoms,and much larger SALS thickness and a high proportion of catheter drainage.
作者
李楠
石冰
李春元
LI Nan;SHI Bing;LI Chunyuan(Department of Radiology,Binhai New Area Hospital of Traditional Chinese Medicine,Tianjin 300451,China)
出处
《医学影像学杂志》
2022年第8期1293-1297,共5页
Journal of Medical Imaging
