多层螺旋CT对新型隐球菌肺炎的诊断效果及临床治疗指导价值

Diagnostic value and guiding value of multi-slice spiral CT in the treatment of Cryptococcus neoformans pneumonia

目的 探讨多层螺旋CT在新型隐球菌肺炎患者中的诊断效果及临床治疗指导价值.方法 回顾性分析2017年2月至2018年2月太原市第二人民医院收治的100例疑似新型隐球菌肺炎患者的临床资料,按照随机数字表法将患者分为两组,研究组50例采用多螺旋CT方法检测,对照组50例采用X射线方法检测.比较两组影像学诊断价值及病变情况.结果 两组患者发生病变的位置比较差异未见统计学意义（P〉0.05）;研究组的诊断价值（查出晕征、空洞、分叶、淋巴结肿大、磨玻璃影、合并网格影征象）高于对照组（P〈0.05）,诊断效果优于对照组（P〈0.05）;研究组查出实变型、空洞型、结节、混合型、肺炎样浸润的比例高于对照组（P〈0.05）.结论 多层螺旋CT在新型隐球菌肺炎患者中的诊断效果理想,临床上应当进一步推广应用.

Objective To investigate the diagnostic effect and guiding value of multi-slice spiral computed tomography （ CT ） in the treatment for patients with Cryptococcus neoformans pneumonia . Methods The clinical data of 100 cases of suspected Cryptococcus neoformans pneumonia who were treated in the Second People＇s Hospital of Taiyuan from February 2017 to February 2018 were retrospectively analyzed .And the enrolled patients were divided into two groups according to the random number table method .Fifty patients in study group were checked by multi -spiral CT , 50 patients in control group were checked by X ray .The diagnostic value and pathological changes of the two groups were compared .Results There was no significant difference in the location of lesion between the two groups （ P 〉0.05 ）.The diagnostic value in study group （ the signs of halo, cavity, lobule, lymphadenopathy , ground glass , and mesh shadow ） was significantly higher than that of control group （P〈0.05）.The diagnostic effect of study group was superior to that of control group （P〈0.05）.The proportions of solid, cavitary, nodular, mixed and pneumonic infiltrates of study group were higher than those of control group （ P〈0.05 ） .Conclusions Multi-slice spiral CT is effective in the diagnosis of Cryptococcus neoformans pneumonia , so it should be further applied in clinic .