多层螺旋CT冠状面重建图像用于尘肺诊断的标准与临床应用

Multislice Spiral CT Coronal Reconstruction Images and Clinical Applications for Standard Diagnosis of Pneumoconiosis

目的:采用多层螺旋CT冠状重建图像用于尘肺诊断的标准与临床应用。材料与方法:选取2014年8月至2015年12月我院收治120例确诊患有尘肺病的患者,对患者进行X线胸片和多层螺旋CT冠状面重建检测,将检测结果与之前做的尘肺标准片进行对比,探讨多层螺旋CT冠状面重建图像的诊断标准。结果:120例患者中有67例患者的X线胸片显示为Ⅰ期尘肺,使用多层螺旋CT冠状面重建图像53例Ⅰ期尘肺,8例与尘肺病诊断标准相符合,6例符合Ⅱ期尘肺病。在X线胸片胸片测试中发现48例为Ⅱ期尘肺,但是使用多层螺旋CT探测诊断只有41例符合Ⅱ期尘肺,5例属于Ⅰ期尘肺,2例属于Ⅲ期尘肺。由此说明多层螺旋CT冠状面重建图像其中5例X线胸片胸片检测中诊断为Ⅲ期尘肺,而在多层螺旋CT中诊断为Ⅲ期尘肺,差异无统计学意义(P<0.5)。结论:多层螺旋CT冠状面重建图像用于尘肺诊断具有较高的诊断价值,比千伏胸片诊断更详细、更精确,诊断效果更为安全可靠。

Purpose： Used for pneumoconiosis diagnosis standard and clinical application of muhislice spiral CT coronary image reconstruction. Materials and Methods： From August 2014 to December 2015 in our hospital treated 120 cases of patients diagnosed with pneumoconiosis, by chest X-ray and multi-slice spiral CT coronal reconstruction detection of patients, comparing test results and before doing the standard diagnostic criteria of pneumoconiosis, multi-slice spiral CT coronal reconstruction image. Results： In 120 cases, X-ray chest films of 67 patients showed stage pneumoeoniosis, using multi-slice spiral CT coronal reconstruction images of 53 cases of pneumoconiosis, 8 cases with diagnostic criteria of pneumoeoniosis is consistent, in line with the 6 cases of pneumoconiosis. 48 cases were found for the second stage pneumoconiosis X-ray chest film in the test, but the use of multi slice spiral CT diagnosis of 41 cases with detection only stage pneumoconiosis, 5 cases be- long to the stage of pneumoconiosis, 2 cases belong to the stage of pneumoconiosis. The multi-slice spiral CT coronal recon- struction image in which the detection of X-ray chest films in 5 cases diagnosed as stage III of pneumoeoniosis, and in multi slice spiral CT in diagnosis of pneumoconiosis, the difference was not statistically significant （ P 〈 0. 5 ）. Conclusion： Multi slice spiral CT coronal reconstruction image in the diagnosis of pneumoconiosis diagnosis has a higher value than kV radiography in diagnosis, more detailed, more accurate, more safe and reliable diagnosis results.