摘要
目的探讨64排螺旋CT在间质性肺疾病诊断中的临床应用价值。方法回顾性分析我院90例间质性肺病患者X线检查和64排螺旋CT影像学表现,比较64排螺旋CT与X线检查的影像学表现阳性率。结果 64排螺旋CT检查诊断符合率为97.78%,高于X线检查的66.67%(P<0.05);64排螺旋CT检查影像学表现为磨砂玻璃样改变34例、网格状影78例、结节或小片状影60例、混合影37例、蜂窝肺42例,准确率分别为37.78%、86.67%、66.67%、41.11%和46.67%,明显高于X线检查各项指标的影像学表现准确率11.11%、38.89%、21.11%、10.00%、12.22%,差异具有统计学意义(P<0.05)。结论 64排螺旋CT在间质性肺疾病诊断中的影像学表现优于X线检查,具有较高的诊断准确率,值得在临床上推广使用。
Objective To investigate the clinical application value of 64-row spiral CT in diagnosis of interstitial lung disease（ILD）. Methods The imaging findings of X-ray examination and 64-row spiral CT of 90 cases of patients with interstitial lung disease in our hospital were retrospectively analyzed, the positive rate of imaging performance of X-ray examination and 64-row spiral CT. Results The coincidence rate of 64-row spiral CT was 97.78%, which was higher than66.67% of X-ray examination（P〈0.05）; imaging performance of 64-row spiral CT showed 34 cases of frosted glass-like changes, 78 cases of mesh-like, 60 cases of nodules or small pieces, 37 cases of mixed shadow, 42 cases of honeycomb,the accuracy rates of 64-row spiral CT were 37.78%, 86.67%, 66.67%, 41.11% and 46.67% respectively, which were higher than 11.11%, 38.89%, 21.11%, 10.00% and 12.22% of X-ray examination（P〈0.05）. Conclusion The imaging performance of 64-row spiral CT in the diagnosis of interstitial lung disease is better than that of the X-ray examination,with higher diagnostic accuracy, which is worth popularizing in clinic.
出处
《临床医学研究与实践》
2017年第30期143-144,共2页
Clinical Research and Practice
