摘要
目的探讨近期新型冠状病毒肺部感染与疫情初期新型冠状病毒肺炎(COVID-19)的CT影像特征并对比。方法回顾性分析惠州地区2022年12月-2023年1月及2020年1月-2月期间新型冠状病毒肺部感染患者的CT影像资料,进行统计及对比。结果本研究共纳入161例患者,包括近期组新型冠状病毒肺部感染患者102例和初期组COVID-19肺炎患者59例。两组病例在肺部病灶数目、支气管充气征象和伴有胸膜增厚方面差异有统计学意义(P值均<0.05)。其中,近期组病例中肺部多发病变比例(88.3%)较初期组(70.8%)上升,但多发病灶中呈弥漫性分布比例(8.1%)较初期组(18.1%)下降。近期组出现病变支气管充气征比例(11.8%)较初期组(33.9%)下降;近期组出现胸膜增厚比例(49.0%)较初期组(23.7%)上升。余两组病例在病灶分布、病灶位置、病灶密度、伴有血管增粗及胸腔积液等差异无统计学意义(P值均>0.05)。结论近期新型冠状病毒肺部感染与疫情初期新型冠状病毒肺炎(COVID-19)的CT影像学特征具有一定的相似性和差异。
Objective To investigate and compare the CT features of patients with COVID-19 related pneumonia in recent period and the beginning of epidemic.Methods The CT imaging data of patients with COVID-19 infection in Huizhou from January to February,2020 and from December,2022 to January,2023 were collected and retrospectively analyzed.Results A total of 161 patients were included in this study,including 102 patients with novel coronavirus pulmonary infection in the recent group and 59 patients with COVID-19 pneumonia in the early group.There were significant differences in the number of lesions,bronchobronchus and pleural thickening between the two groups(P<0.05).The proportion of multiple lesions in the recent group(88.3%)was higher than that in the early group(70.8%),but the proportion of diffuse distribution in multiple lesions(8.1%)was lower than that in the early group(18.1%).The proportion of bronchobronchus in the recent group(11.8%)was lower than that in the early group(33.9%),and the proportion of pleural thickening in the recent group(49.0%)was higher than that in the early group(23.7%).There was no significant difference in the distribution,ocation,density,with the signs of vascular bundle thickening and pleural effusion between the other two groups(P>0.05).Conclusion The CT imaging characteristics of novel coronavirus pulmonary infection in the recent period and novel coronavirus pneumonia(COVID-19)in the early stage have certain similarities and differences.
作者
陈晓枫
黄新曲
郭希彤
代海洋
Chen Xiao-feng;Hua ng Xin-qu;Guo Xi-tong;Dai Hai-yang(Shantou University Medical College,Shantou 515041,Guangdong Province,China;Department of Radiology,Hui Ya Hospital of the First Affiliated Hospital,Sun Yat-sen University,Huizhou 516081,Guangdong Province,China;Department of Radiology,Huizhou Municipal Central Hospital,Huizhou 516001,Guangdong Province,China)
出处
《中国CT和MRI杂志》
2023年第10期64-66,共3页
Chinese Journal of CT and MRI
基金
广东省基础与应用基础研究基金省市联合基金项目(2020A1515110563)
广东省医学科研基金项目(B2021052)。
