摘要
目的探究双源CT在淋巴细胞 间质性肺炎患者临床诊断过程的应用价 值。方法 采用回顾性分析法,对本院 2014年6月-2016年6月期间收治的80例淋 巴细胞间质性肺炎患者的临床资料进行 分析、归纳和总结。根据患者诊断方式 的不同,将患者分为双源CT诊断组和病 理诊断组,对比两组患者在临床确诊率 上的差异。结果 双源CT组患者临床主要 症状为咳嗽咳痰23例,发热5例,胸闷 5例,肺部湿啰音、肺部呼吸音降低24 例,胸痛19例,无症状患者3例,与病理 组比较两组差异无统计学意义,P>0.05。 病理组患者的确诊率95.00%显著高于双 源CT组患者的75.00%,(P<0.05),组间 对比差异显著,具有统计学研究价值。 结论 使用高分辨率双源CT诊断淋巴细胞 间质性肺炎,有漏诊现象,可以结合病 理检查来提高临床确诊率,减少误诊、 漏诊现象。
Objective To investigate the application and diagnostic value of dual source CT in the clinical diagnosis of lymphocytic interstitial pneumonia. Methods The clinical data of 80 cases of lymphocytic interstitial pneumonia treated in our hospital from June 2014 to June 2016 were analyzed retrospectively and summarized. According to the different diagnostic methods, patients were divided into dual source CT diagnostic group and pathological diagnosis group, and the difference of clinical diagnosis rate between the two groups was compared. Results The main symptoms of the double source CT group were cough and expectoration (23 cases), fever(5 cases), chest tightness(5 cases), pulmonary rales and lung breath sounds reduced(24 cases), chest pain(19 cases), asymptomatic patients(3 cases), and symptoms of pathological group had no significant difference, P>0.05. The diagnosis rate of the pathological group was 95%, significantly higher than that of the dual source CT group (75%) (P<0.05), the difference between the two groups was statistically significant. Conclusion Misdiagnosis of Lymphocytic Interstitial Pneumonia by dualsource CT can be combined with pathological examination to improve the clinical diagnosis rate and reduce misdiagnosis and missed diagnosis.
【关键词】双源CT;淋巴细胞间质性肺炎;确诊率;临床价值
【中图分类号】R563.1
【文献标识码】A
【DOI】10.3969/j.issn.1672-5131.2018.10.020
前言
淋巴细胞间质性肺炎(Lymphocytic Interstitial Pneumonia, LIP)是一种慢性、进行性间质性肺炎,多伴AIDS发生。LIP和肺淋巴 细胞样增生(pulmonary lymphoidhyperplasia,PLH)可见于各种免疫 紊乱情况,如自身免疫性疾病骨髓移植后慢性移植物抗宿主反应和 AIDS,目前被认为是AIDS相关确定性疾病。使用X线胸片等常规影像学 诊断方式容易出现漏诊现象[1],导致患者病情不能够得到及时有效的 控制,延误了淋巴细胞间质性肺炎治疗的最佳时机,影响了患者的预 后[2-3]。本文通过对80例淋巴细胞间质性肺炎患者临床资料的回顾,对 比不同诊断方式的临床确诊率,以期给临床工作提供经验借鉴。
中国CT和MRI杂志
第16卷, 第 10 期
2018年10月
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