摘要
目的比较分析儿童支原体肺炎(MP)与链球菌肺炎(SP)的CT表现差异。方法回顾性分析医院2014年1月-2016年12月经血清学、血培养证实的70例单纯MP(单纯MP组)、50例MP合并SP(MP+SP组)患儿的CT影像学资料。结果两组病变部位比较差异无统计学意义(P>0.05);支气管壁增厚、网状影、磨玻璃影、支气管血管束增厚、肺内扇形薄片影发生率方面,单纯MP组均显著高于MP+SP组;单纯MP组胸腔积液发生率11.43%显著低于MP+SP组的40.00%(P<0.05);单纯MP组胸腔积液厚度、淋巴结横径均显著小于MP+SP组(P<0.05)。结论单纯MP以CT肺间质改变为主,MP+SP以肺内实变影为主,胸腔积液发生率显著大,淋巴结肿大更明显。
Objective To comparatively analyze CT findings of children with Mycoplasma pneumonia(MP)and children with Streptococcus pneumonia(SP).Methods CT imaging data of 70 children with simple MP(simple MP group)and 50 children with MP and SP(MP+SP group)which were confirmed by menstrual serology and blood cultures in the hospital from January 2014 to December 2016 were analyzed retrospectively.Results There was no significant difference between the two groups in diseased region(P>0.05).The incidence rates of bronchial wall thickening,reticular formation,ground glass shadow,bronchial vascular bundle thickening and fan-shaped segments of lungs were significantly higher in the simple MP group than in the MP+SP group.The incidence of pleural effusion in the simple MP group was significantly lower than that in the MP+SP group(11.43%vs.40.00%)(P<0.05).The thickness of pleural effusion and transverse diameter of lymph node in the simple MP group were significantly smaller than those in the MP+SP group(P<0.05).Conclusion CT pulmonary interstitial change is the main finding of simple MP while intrapulmonary solid change is the main finding of MP+SP.The incidence of pleural effusion is significantly higher and lymphadenectasis is more obvious in children with MP+SP.
作者
张义堂
王中晓
杨红
张伟东
吕亚洲
刘平
ZHANG Yi-tang;WANG Zhong-xiao;YANG Hong(Department of PICU,the Affiliated Hospital of Zhengzhou University,Central Hospital of Nanyang City,Nanyang 473000,Henan Province,China)
出处
《中国CT和MRI杂志》
2018年第1期63-65,共3页
Chinese Journal of CT and MRI
关键词
支原体肺炎
链球菌肺炎
儿童
CT表现
Mycoplasma Pneumonia
Streptococcal Pneumonia
Children
CT Findings
