nav emailalert searchbtn searchbox tablepage yinyongbenwen piczone journalimg journalInfo journalinfonormal searchdiv searchzone qikanlogo popupnotification paper paperNew
2014, 05, v.20 712-715
不同的影像学方法在Ⅱ期矽肺中诊断价值对比研究
基金项目(Foundation): 珠海市2013年度市卫生局科研立项非资助项目(2013004)~~
邮箱(Email):
DOI: 10.13210/j.cnki.jhmu.20140126.099
发布时间: 2014-05-28
出版时间: 2014-05-28
移动端阅读
摘要:

目的:观察胸部高分辨CT(HRCT)与高千伏X线胸片在诊断Ⅱ期矽肺中的价值。方法:选取70例Ⅱ期矽肺患者,分别进行HRCT与高千伏X线胸片检查,分析两种检查指标。结果:主要影像指标方面,两组检查在斑片条、小阴影聚集、空洞等检测方面比较,差异无统计学意义(P>0.05);而其他如发白区、大结节影、钙化等检测上,HRCT与高千伏X线胸片比较,差异具有统计学意义(P<0.05);HRCT与高千伏X线胸片在小阴影密集度肺区数显示能力、矽肺分期方面比较,差异具有统计学意义(P<0.05)。结论:HRCT与高千伏X线胸片在主要影像指标检测方面,均存在较大的差异。两种影像学检查具有较强的诊断互补性。

Abstract:

Objective:To observe the values of chest HRCT and high kV X-ray chest radiograph in diagnosis of phase Ⅱ silicosis.Methods:A total of 70patients with phase Ⅱ silicosis underwent chest HRCT and high kV X-ray chest radiograph and the results of the two were analyzed.Results:Regarding to major image indicators like patch and slip,small shadow gathering and cavity,there were no significant differences between the two groups(P>0.05);but for white area,major tubercle shadow and calcification,there were significant differences between chest HRCT and high kV X-ray chest radiograph(P< 0.05);for small shadow intensity,there were significant difference on display capabilities and silicosis stage between the two method(P<0.05).Conclusion:There are significant differences between chest HRCT and high kV X-ray chest radiograph on detection of major image indicators,and they can be complementary of each other.

参考文献

1 Meijer E,Tjoe NE,Kraus T,et al.Pneumoconiosis and emphysema in construction workers:results of HRCT and lung function findings[J].Occupational and Environmental Medicine,2011,68(7):542-546.

2 罗建华,李隆祥,徐婷婷,等.矽肺患者反复呼吸道感染与免疫功能关系的临床研究[J].中国全科医学,2012,15(2):400.

3 周武旺,陈志强.2008-2010年广西矽肺合并肺结核流行病学调查[J].实用心脑肺血管病杂志,2012,20(7):1134..

4 谢智峰,王顺,周光荣,等.螺旋CT在检测矽肺阴影的低剂量优化选择[J].中国CT和MRI杂志,2012,10(4):21-23,49.

5 韩恺,刘雁丽.高分辨CT与高千伏X线胸片在诊断Ⅱ期矽肺中的比较[J].中国医学影像学杂志,2011,19(9):707-710.

6 Deniz O,Gumus S,Ors F,et al.Serum lactate dehydrogenase levels significantly correlate with radiological extent of disease and spirometric values in patients with silicosis due to denim sandblasting[J].Clinical Chemistry and Laboratory Medicine,2012,50(3):483-488.

7 冯美琼,李庆明.多层螺旋CT在矽肺诊断中的价值及应用[J].临床肺科杂志,2012,17(7):1346-1347.

8 马大庆.呼吸系统影像诊断60年的进展[J].中华放射学杂志,2013,47(z1):20-23.

9 高焕武,谭洪,钱连忠,等.97例表现为肺部块状融合阴影的X线分析[J].河北医科大学学报,2013,34(3):330-332.

10 饶新民.螺旋CT在矽肺诊断中的应用价值[J].重庆医学,2010,39(20):2727-2728,2731.

11 邹伟明,廖分石,黄桂雄,等.数字X射线摄影技术在矽肺病诊断中的应用探讨[J].中国职业医学,2008,35(5):402-403.

12 李仁战,刘锦鹏,洪杰,等.矽肺患者450例胸部X线片及CT分析[J].实用医学杂志,2009,25(7):1122-1123.

13 管美凤,张宁香.CT与高KV摄影检查矽肺临床价值分析[J].医学影像学杂志,2013,23(8):1321-1323.

14 Muzembo BA,Dumavibhat N,Ngatu NR,et al.Serum selenium and selenoprotein P in patients with silicosis[J].Journal of Trace Elements in Medicine and Biology,2013,27(1):40-44.

15 李世友,张华.矽肺病X线高千伏胸片与CT的影像学诊断分析[J].临床肺科杂志,2013,18(2):375-376.

16 Seung KJ,Rigodon J,Finch M,et al.Distribution of adult respiratory illnesses at a primary health centre in Lesotho[J].The International Journal of Tuberculosis and Lung Disease,2012,16(3):418-422.

17 Chiavegatto CV,Carneiro AP,Dias EC,et al.Diagnosis of severe silicosis in young adults working in stone polishing and mining in Minas Gerais,Brazil[J].International Journal of Occupational and Environmental Health,2010,16(2):147-150.

基本信息:

DOI:10.13210/j.cnki.jhmu.20140126.099

中图分类号:R135.2

引用信息:

[1]孙世明,梁惠文.不同的影像学方法在Ⅱ期矽肺中诊断价值对比研究[J].海南医学院学报,2014,20(05):712-715.DOI:10.13210/j.cnki.jhmu.20140126.099.

基金信息:

珠海市2013年度市卫生局科研立项非资助项目(2013004)~~

发布时间:

2014-05-28

出版时间:

2014-05-28

引用

GB/T 7714-2015 格式引文
MLA格式引文
APA格式引文