CT检查在粉尘肺职业监护中的应用价值
|
摘要
目的探析CT检查在粉尘肺职业护理监护中的应用价值。方法选择120例粉尘肺患者与60例健康者,均给予胸部X线检查及相同条件下进行胸部CT检查,比较X线检查与CT检查在粉尘肺职业监护中诊断敏感度、特异度及准确度。结果 X线检查诊断尘肺108例(假阳性11例),CT增强扫描诊断尘肺113例(假阳性3例)。CT增强扫描检查诊断尘肺敏感性、特异性、诊断符合率分别为91.67%、95.00%、92.78%,显著高X线检查的80.83%、81.67%、81.11%(P<0.05)。结论相较于X线检查,CT检查能够提高诊断尘肺病诊断效能,在尘肺职业病监护中效果更好,值得推广
Objective To explore the application value of CT examination in occupational monitoring of pneumoconiosis. Methods 120 cases of patients with pneumoconiosis and 60 cases of healthy persons were selected and given the chest X-ray examination and the CT examination under the same conditions. Then,the diagnostic sensitivity,specificity and accuracy of the X-ray examination and the CT examination in occupational monitoring of pneumoconiosis were compared. Results 108 cases of pneumoconiosis( 11 cases of false positive) were diagnosed by X-ray examination,and 113 cases of pneumoconiosis( 3 cases of false positive) were diagnosed by CT enhanced scan examination. The sensitivity,specificity and diagnostic coincidence rate of CT enhanced scan examination in diagnosis of pneumoconiosis were 91. 67%,95% and 92. 78%,respectively,which were significantly higher than that of X-ray examination( 80. 83%,81. 67%,81. 11%,respectively)( P < 0. 05). Conclusion Compared with X-ray examination,CT examination can improve the diagnostic efficiency of pneumoconiosis,and it exhibits better effect in the occupational monitoring of pneumoconiosis. Thus,it is worth of being promoted.
Objective To explore the application value of CT examination in occupational monitoring of pneumoconiosis. Methods 120 cases of patients with pneumoconiosis and 60 cases of healthy persons were selected and given the chest X-ray examination and the CT examination under the same conditions. Then,the diagnostic sensitivity,specificity and accuracy of the X-ray examination and the CT examination in occupational monitoring of pneumoconiosis were compared. Results 108 cases of pneumoconiosis( 11 cases of false positive) were diagnosed by X-ray examination,and 113 cases of pneumoconiosis( 3 cases of false positive) were diagnosed by CT enhanced scan examination. The sensitivity,specificity and diagnostic coincidence rate of CT enhanced scan examination in diagnosis of pneumoconiosis were 91. 67%,95% and 92. 78%,respectively,which were significantly higher than that of X-ray examination( 80. 83%,81. 67%,81. 11%,respectively)( P < 0. 05). Conclusion Compared with X-ray examination,CT examination can improve the diagnostic efficiency of pneumoconiosis,and it exhibits better effect in the occupational monitoring of pneumoconiosis. Thus,it is worth of being promoted.
引文
[1]伍永升.胸部CT与支气管镜在肺部病变临床诊断中的应用价值比较[J].中国CT和MRI杂志,2016,14(7):52-54,87.
[2]谢剑君,李晓林,王燕玲.浅谈CT模拟机在放疗定位中的应用[J].临床医药文献电子杂志,2015(4):759-759,762.
[3]陈林.胸部CT在肺炎诊断中的应用价值[J].当代医学,2015,21(28):24-25.
[4]陈旭生,刘艳群,张文,等.高千伏X线片、DR、CT在尘肺病诊断中的应用评价[J].卫生职业教育,2015(8):143-145,146.
[5]李斌.胸部CT在尘肺病中的诊断价值[J].中国乡村医药,2014(13):58-59.
[6]林婷婷,董江宁,韦树,等.能谱CT肺动脉造影团注测试法单能量图像在降低碘摄入中的应用[J].中国医学影像学杂志,2016,24(1):4-7.
[7]高儒雅,纪立伟,朱孔彩.碘造影剂相关不良反应危险因素分析[J].药物不良反应杂志,2015,17(1):27-35.
[8]许碧鸿.高仟伏X线胸片和DR胸片在尘肺病影像诊断中的比较研究[J].中国医药指南,2016,14(29):32-33.
[9]夏巍,尹肖睿,吴晶涛,等.多层螺旋CT低对比剂量肺动脉造影的可行性研究[J].临床放射学杂志,2014,33(2):289-292.
[10]穆迎民,德勇,胡海彦,等.孤立性尘肺大阴影与周围型肺癌64排螺旋CT影像鉴别[J].宁夏医学杂志,2015,37(2):172-173.
[11]焦霜.64排螺旋CT在肺部病变诊断中的应用价值[J].中国医药导刊,2014,10(12):1447-1449.
[2]谢剑君,李晓林,王燕玲.浅谈CT模拟机在放疗定位中的应用[J].临床医药文献电子杂志,2015(4):759-759,762.
[3]陈林.胸部CT在肺炎诊断中的应用价值[J].当代医学,2015,21(28):24-25.
[4]陈旭生,刘艳群,张文,等.高千伏X线片、DR、CT在尘肺病诊断中的应用评价[J].卫生职业教育,2015(8):143-145,146.
[5]李斌.胸部CT在尘肺病中的诊断价值[J].中国乡村医药,2014(13):58-59.
[6]林婷婷,董江宁,韦树,等.能谱CT肺动脉造影团注测试法单能量图像在降低碘摄入中的应用[J].中国医学影像学杂志,2016,24(1):4-7.
[7]高儒雅,纪立伟,朱孔彩.碘造影剂相关不良反应危险因素分析[J].药物不良反应杂志,2015,17(1):27-35.
[8]许碧鸿.高仟伏X线胸片和DR胸片在尘肺病影像诊断中的比较研究[J].中国医药指南,2016,14(29):32-33.
[9]夏巍,尹肖睿,吴晶涛,等.多层螺旋CT低对比剂量肺动脉造影的可行性研究[J].临床放射学杂志,2014,33(2):289-292.
[10]穆迎民,德勇,胡海彦,等.孤立性尘肺大阴影与周围型肺癌64排螺旋CT影像鉴别[J].宁夏医学杂志,2015,37(2):172-173.
[11]焦霜.64排螺旋CT在肺部病变诊断中的应用价值[J].中国医药导刊,2014,10(12):1447-1449.