儿童肺炎支原体肺炎的影像学表现

The Imaging Findings of Children Mycoplasma Pneumoniae Pneumonia

目的:总结儿童肺炎支原体肺炎(mycoplasma pneumoniae pneumonia,MPP),分析儿童肺炎支原体肺炎影像学特点。方法:选择2015年1月-2016年12月我院收治80例确诊为MPP并有完整影像资料的患儿作为研究对象,对其肺部影像学资料进行分析、总结。结果:所有患儿肺部影像资料具有异常改变。不同年龄儿童的MPP病变位置不同,<5岁的儿童多位于双肺,≥5岁的儿童多位于右肺;儿童MPP影像学改变主要有3种类型:散在淡片状影占、片状高密度影占、间质浸润性改变占,<5岁组均高于≥5岁组,其中间质浸润性改变差异具有统计学意义(P<0.05)。结论:儿童肺炎支原体肺炎具有一定的特异性,对于临床上怀疑MPP病例,应该及早进行胸部影像学检查,为临床诊断与治疗提供依据,避免漏诊。

Objective ： This article summarizes children mycoplasma pneumoniae pneumonia （mycoplasma pneu- moniae root, MPP）, analysis of imaging characteristics of mycoplasma pneumoniae pneumonia in children. Methods： Choice in January 2015 - December 2016, our hospital 80 cases diagnosed with MPP and a complete image data of children, the lung imaging data were analyzed and summarized. Results： All children with abnormal changes of lung imaging data with. Different age children MPP lesion location, more than 5 years old children in both lungs, or more than 5 years old children in the right lung. Children MPP imaging changes mainly has three types： scattered in weak lamellar shadow, sheet, interstitial high- density shadow of invasive change of, 〈 5 years old group were higher than 5 years old or more, including interstitial invasive change differences statistically significant （ P 〈 0. 05 ）. Conclusion： Mycoplasma pneumoniae pneumonia in children have certain specificity, for cases of clinically suspected MPP, chest radiographic inspections should be as soon as possible, provide the basis for clinical diagnosis and treatment, avoid missed diagnosis.