胸部CT用于肺炎支原体肺炎患儿中的影像学特点探究
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摘要
目的探究胸部CT用于肺炎支原体肺炎患儿中的影像学特点。方法本文观察对象选自本院2016年1月～2018年12月期间治疗的100例肺炎支原体肺炎患儿,设为观察组,同时选取同时期来本院体验的健康婴幼儿作为对照组,两组均实施胸部CT扫描,分析其影像学特点。结果对照组婴幼儿CT扫描无异常,观察组支气管扩张26例,占比26.00%,胸膜增厚24例,占比24.00%,胸腔积液12例,占比12.00%,磨玻璃样改变64例,占比64.00%,肺实变41例,占比41.00%,两组比较差异明显具有统计学意义(P<0.05);观察组CT显示,病灶部位位于单侧患儿69例,占比69.00%,双侧患儿31例占比31.00%,其中病灶部位位于单侧患儿中左侧的35例,占比35.00%,右侧的为34例,占比34.00%;根据患儿年龄阶段划分,婴幼儿支原体肺炎胸部CT影像多表现为散在斑片影,学龄前儿童多表现为斑片状及斑点状实变影,学龄儿童CT影像以大片实变影为主。结论胸部CT用于肺炎支原体肺炎患儿具有显著成像特点,能够明确定位肺部病灶位置,为临床诊断提供参考依据,但需要注意胸部CT影像学特点和年龄的关联性,以便节省诊断时间,尽早发现及时治疗。
[Abstract ]Objective To investigate the imaging features of chest CT in children with Mycoplasma pneumonia. Methods 100 cases of Mycoplasma pneumonia treated in self-hospital from January 2016 to December 2018 were selected as observation group, and healthy infants and young children who came to our hospital during the same period were selected as control group. Both groups performed chest CT scans. Analyze its imaging characteristics. Results There was no abnormal CT scan in the control group, 26 cases of bronchial dilation(26.00 %), 24 cases of pleuralthickening(24.00 %), 12 cases of pleural effusion(12.00 %), 64 cases of grinding glass, and 41 cases of lung change. The ratio was 41.00 %, and the difference between the two groups was statistically significant(P& Lt; 0.05); The CT of the observation group showed that the lesions were located in 69 children on the single side, accounting for 69.00 %, and 31 children on the two sides accounted for 31.00 %, of which the lesions were located in 35 cases on the left side of the children on the single side, accounting for 35.00 %. 34 cases on the right side, accounting for 34.00 %; According to the age of the children, the CT image of the chest of the infant Mycoplasma pneumonia is mostly scattered in the patch shadow, and the preschool children are mostly in the pattern of spots and spots. The CT image of school-age children is dominated by large areas of real shadow. Conclusion Chest CT is used in children with Mycoplasma pneumonia. It can clearly locate the location of lung lesions and provide reference for clinical diagnosis. However, it is necessary to pay attention to the correlation between chest CT imaging features and age in order to save diagnosis time. Early detection, prompt treatment.
[Abstract ]Objective To investigate the imaging features of chest CT in children with Mycoplasma pneumonia. Methods 100 cases of Mycoplasma pneumonia treated in self-hospital from January 2016 to December 2018 were selected as observation group, and healthy infants and young children who came to our hospital during the same period were selected as control group. Both groups performed chest CT scans. Analyze its imaging characteristics. Results There was no abnormal CT scan in the control group, 26 cases of bronchial dilation(26.00 %), 24 cases of pleuralthickening(24.00 %), 12 cases of pleural effusion(12.00 %), 64 cases of grinding glass, and 41 cases of lung change. The ratio was 41.00 %, and the difference between the two groups was statistically significant(P& Lt; 0.05); The CT of the observation group showed that the lesions were located in 69 children on the single side, accounting for 69.00 %, and 31 children on the two sides accounted for 31.00 %, of which the lesions were located in 35 cases on the left side of the children on the single side, accounting for 35.00 %. 34 cases on the right side, accounting for 34.00 %; According to the age of the children, the CT image of the chest of the infant Mycoplasma pneumonia is mostly scattered in the patch shadow, and the preschool children are mostly in the pattern of spots and spots. The CT image of school-age children is dominated by large areas of real shadow. Conclusion Chest CT is used in children with Mycoplasma pneumonia. It can clearly locate the location of lung lesions and provide reference for clinical diagnosis. However, it is necessary to pay attention to the correlation between chest CT imaging features and age in order to save diagnosis time. Early detection, prompt treatment.
引文
[1]郝长锁,刘长山,王雪艳,etal.小儿肺炎支原体肺炎64排螺旋CT的影像学表现特点[J].天津医科大学学报,2013,19(5):418-420.
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[4]郑柏军,张国立.小儿肺炎支原体肺炎胸部CT影像学特点的临床探讨[J].中国医药指南,2015,13(15):155-156.
[5]郑秀丽.胸部CT影像对儿童肺炎支原体肺炎的临床诊断[J].世界最新医学信息文摘:电子版,2013,21(10):197.
[2]陈霞,侯振洲,崔喜英,etal.肺炎支原体肺炎患儿的胸部CT影像学特点及临床诊断[J].中国妇幼保健,2015,30(12):1865-1866.
[3]陈丽,蔡栩栩,尚云晓.小儿肺炎支原体肺炎高分辨率CT影像学特点[J].国际儿科学杂志,2013,40(6):635-638.
[4]郑柏军,张国立.小儿肺炎支原体肺炎胸部CT影像学特点的临床探讨[J].中国医药指南,2015,13(15):155-156.
[5]郑秀丽.胸部CT影像对儿童肺炎支原体肺炎的临床诊断[J].世界最新医学信息文摘:电子版,2013,21(10):197.