摘要
目的:分析在小儿肺炎的临床诊断和疗效判断中应用肺部超声检查的价值。方法:选取泰安市妇幼保健院2020年11月—2021年11月收治的130例肺炎患儿为研究对象,按照随机数字表法分为观察组与对照组,各65例。给予对照组患儿胸部X线检查,观察组患儿超声检查,比较两组患儿的肺炎诊断准确率,观察小儿肺炎肺部超声表现并评估其疗效。结果:观察组小儿肺炎阳性检出率为96.92%,与对照组的95.38%差异不显著(P>0.05);观察组患儿的肺部超声表现包括患儿均有A线消失、肺部局部胸膜线异常;另有88.89%有多发B线情况;66.67%存在胸膜下肝样变及低回声区且其中85.71%存在支气管充气征;12.70%患儿存在胸腔积液;经治疗且超声复查后发现,观察组患儿肺部B线数量在治疗后无论是平卧位还是坐位较治疗前均减少,前后差异均有统计学意义(P<0.05);另外A线消失、肺部局部胸膜线异常、多发B线等不良超声表现在术后患儿的占比中均有不同程度降低,差异具统计学意义(P<0.05)。结论:肺部超声在小儿肺炎的诊断中效果确切,诊断准确度与胸部X线相当,并且能够避免或减少患儿暴露于X线下,同时肺部超声检查能够在术后为判断疗效发挥积极作用。
Objective To analyze the value of lung ultrasonography in the clinical diagnosis and efficacy judgment of children with pneumonia.Methods A total of 130 children with pneumonia admitted to Tai'an Maternal and Child Health Hospital from November 2020 to November 2021 were selected as the research objects,according to the random number table method,it was divided into observation group and control group,with 65 cases in each group.The children in the control group were given chest X-ray examination,and the children in the observation group were given ultrasound examination.The diagnostic accuracy of pneumonia in the two groups was compared,and the pulmonary ultrasound manifestations of pneumonia in children were observed and the efficacy was evaluated.Results The positive rate of pneumonia was 96.92%in the observation group,the difference with 95.38%of the control group was not significant(P>0.05).The pulmonary ultrasound manifestations of the observation group included the disappearance of A-lines and the abnormal local pleural lines in the lungs;Another 88.89%have multiple B lines;66.67%had subpleural hepatic lesions and low echo area,and 85.71%of them had bronchodilation signs.12.70%of children had pleural effusion;After treatment and ultrasound review,it was found that the number of pulmonary line B in the observation group was reduced after treatment in either supine position or sitting position,with statistical significance(P<0.05).In addition,the proportion of postoperative adverse ultrasound manifestations,such as the disappearance of line A,abnormal local pulmonary pleura line,and multiple B lines,decreased to varying degrees,with statistically significant differences(P<0.05).Conclusion The effect of lung ultrasound in the diagnosis of pneumonia in children is definite.The diagnostic accuracy is comparable to that of chest X-ray,and it can avoid or reduce the exposure of children to X-ray.At the same time,lung ultrasound can play a positive role in judging the curative effect after surgery.
作者
徐静
XU Jing(Health Checkup Center,Tai'an Maternal and Child Health Hospital,Tai'an,Shandong 271000,China)
出处
《影像研究与医学应用》
2022年第12期38-40,共3页
Journal of Imaging Research and Medical Applications
关键词
肺部超声
小儿肺炎
胸部X线
临床诊断
疗效评价
Lung ultrasound
Infantile pneumonia
Chest X-ray
Clinical diagnosis
Efficacy evaluation
