56例小儿支原体肺炎胸部CT比较分析

Comparative Analysis of Chest CT of 56 Children with Mycoplasma Pneumonia

目的分析56例小儿支原体肺炎的胸部CT,提高本病的影像学诊断水平。方法选取本院收治的支原体肺炎56例患儿的CT资料,对其进行比较分析。结果单侧肺叶病变者38例,占67.86%,双侧病变者18例,占32.14%;单叶段病变者25例,占44.64%,多叶段病变者31例,占55.36%。其中,肺段实质大片实变影,共43例;肺小叶出现斑点状实变影,38例;肺间质出现斑片状影14例,磨玻璃影共有7例,大多数病变出现多叶片,大片的实变影与斑片状的实变影是共同存在的。肺门淋巴结出现肿大的有4例,胸腔积液有17例,肺不张有3例。经过系统治疗后,肺间质浸润性病变10例患者在一周后复查CT,病灶全部吸收;肺部出现实质浸润性病变的43例在一周后复查CT中,病灶吸收13例。结论根据支原体肺炎患儿所拍摄的胸部CT可知,单侧发病患儿通过比双侧发病的患儿人数多,右肺出现病症的比左侧的多,比较常见的就是大片实变影,然后是斑片状影,依照这些特点,可以对该病进行早期诊断以及治疗,并使治疗效果得以有效提高。

Objective To analyze the chest CT manifestations of 56 children with mycoplasma pneumonia. MethodsThe CT data of 56 children with mycoplasma pneumonia were selected and analyzed. Results There were 38 patients with unilateral pulmonary disease,accounting for 67.86% and 18 cases with bilateral lesions,accounting for 32.14%. A total of 25 patients with single lobe lesions,accounting for 44.64%,and 31 patients with multi-lobe lesions,accounting for 55.36%;43 cases in the lung parenchyma. The lobules of lung spotted with spots were found in 38 cases. There were 14 cases of patchy shadow in the interstitial mass,7 cases were observed in the glass,and most of the lesions appeared in multiple leaves,and the large number of solid changes and patchy real changes were common. There were 4 cases of hilar lymph node enlargement,17 cases of pleural effusion,and 3 cases of lung. After systematic treatment,10 patients with interstitial infiltration of the lung were reexamined CT in a week,and all the lesions were absorbed. There were 43 cases of parenchymal infiltration in the lungs,and 13 cases were reexamined in one week. Conclusion There are more children in unilateral than bilateral,and the right lung is more than the left.