肺撕裂伤的256层螺旋CT检查结果分析

ANALYSIS OF THE 256-SLICE CT FINDINGS OF PULMONARY LACERATION

目的对256层螺旋CT检查肺撕裂伤(PL)的结果进行分析。方法对我院73例PL患者的临床资料以及CT检查结果进行回顾性分析。结果 73例患者,共累计112个病灶,其中肺周边区及胸膜下的病灶占78.57%(88个病灶),肺中心区域的病灶占21.43%(24个病灶),病灶位置相比差异有统计学意义(P<0.05)。并且肺周边区及胸膜下病灶累及一个肺叶、二个肺叶的数量远远多于肺中心区域,差异有统计学意义(P<0.05)。CT检查显示,气液囊组的人数与其他二组相比,差异有统计学意义(P<0.01)。而且气液囊组的病灶数也远远多于气囊组和血肿组,差异有统计学意义(P<0.01)。同时,血肿组患者的病灶大小明显小于其他二组,差异有统计学意义(P<0.01)。结论256层螺旋CT用于PL检查及诊断效果较佳,对于此病症的救治极具参考价值,值得被广泛应用。

Objective To analyze the 256-slice CT findings of pulmonary laceration.Methods The clinical data and CT examination results of 73 patients with PL were analyzed retrospectively.Results Seventy-three patients included 112 lesions were selected,among which the pulmonary peripheral area and the subpleural lesions accounted for 78.57%（88 lesions）,the lung lesions of the central region accounted for 21.43%（24lesions）,the difference between lesion locations was statistical significant（P0.05）.The number of the pulmonary peripheral area and the subpleural lesions involving a lobectomy was far more than the pulmonary center,and the difference had statistically significance（P〈0.05）.CT examination results showed that the difference among the gas and liquid capsule group and the other two groups had statistically significance（P〈0.01）.The number of lesions in gas liquid capsule group was far more than the air sacs and hematoma group,and there had significant difference（P〈0.01）.At the same time,the lesion size of patients in hematoma group was smaller than the other two groups,the difference had statistically significance（P〈0.01）.Conclusion The diagnostic effect of 256-slice CT for PL checking is good,and has extreme reference value for the treatment of this disorder,and it deserves to be widely applied.