摘要
目的对比分析肺部B超及胸部X线检查对小儿肺炎的诊断效果,并探讨其临床意义和B超的声像特征。方法选取2020年6月至2021年6月收治的100例肺炎患儿作为观察组,再选取同期住院的100例非肺部疾病患儿作为对照组。两组患儿均行肺部B超检查、胸部X线检查。比较两组的声像特征及不同方法的诊断效能。结果观察组肺部B超声像特征中,A线消失占97.00%、B线出现占97.00%、胸膜线异常占96.00%、肺实变占25.00%、胸腔积液占10.00%;对照组A线消失和胸膜线异常各占5.00%、B线出现占6.00%,无肺实变和胸腔积液。观察组的各项肺部B超声像特征检出率明显高于对照组,差异具有统计学意义(P<0.05)。肺部B超的诊断准确度、特异度、灵敏度分别为96.00%、95.00%、97.00%;胸部X线分别为87.50%、85.00%、90.00%;肺部B超的诊断准确度、特异度、灵敏度均高于胸部X线(P<0.05)。结论在小儿肺炎的影像学检查中,肺部B超相比于胸部X线更具有优势,通过观察B超声像特征可准确评估病情,具有较高的特异度、灵敏度、准确度,可作为小儿肺炎的临床常规检查方法。
Objective To compare and analyze the diagnostic effect of lung B-ultrasound and chest X-ray examination in children with pneumonia,and to explore its clinical significance and sonographic features of B-ultrasound.Methods A total of 100 children with pneumonia admitted from June 2020 to June 2021 were selected as observation group,and 100 children with non-pulmonary diseases hospitalized in the same period were selected as control group.Both groups underwent lung B-ultrasound examination and chest X-ray examination.The sonographic features of the two groups and diagnostic efficacy of different methods were compared.Results In the lung B-ultrasound features in the observation group,A-line disappearance accounted for 97.00%,B-line appearance accounted for 97.00%,pleural line abnormality accounted for 96.00%,lung consolidation accounted for 25.00%,and pleural effusion accounted for 10.00%.In the control group,A-line disappearance and pleural line abnormality accounted for 5.00%respectively,B-line appearance accounted for 6.00%,and there were no lung consolidation and pleural effusion.The detection rates of each item of lung B-ultrasound features in the observation group were significantly higher than those in the control group,and the differences were statistically significant(P<0.05).The diagnostic accuracy,specificity and sensitivity of lung B-ultrasound were 96.00%,95.00%and 97.00%,respectively;the chest X-ray were 87.50%,85.00%and 90.00%,respectively;the diagnostic accuracy,specificity and sensitivity of lung B-ultrasound were higher than those of chest X-ray(P<0.05).Conclusion In the imaging examination of pneumonia in children,lung B-ultrasound has more advantages than chest X-ray.By observing the features of B-ultrasound,the condition can be accurately evaluated.It has higher specificity,sensitivity and accuracy,and can be used as a routine clinical examination method for pneumonia in children.
作者
吴小燕
王建伟
WU Xiaoyan;WANG Jianwei(Ultrasound Diagnosis Department,Yulin No.2 Hospital,Yulin 719000;Ultrasound Diagnosis and Treatment Center,Xi'an International Medical Center Hospital,Xi'an 710100,China)
出处
《临床医学研究与实践》
2023年第29期101-104,共4页
Clinical Research and Practice
关键词
小儿肺炎
胸部X线
肺部B超
临床诊断
声像特征
pneumonia in children
chest X-ray
lung B-ultrasound
clinical diagnosis
sonographic feature
