肺脏超声对新生儿肺不张的诊断价值

The diagnostic value of pulmonary ultrasound in neonatal atelectasis

目的 探讨在新生儿肺不张检查中使用肺脏超声的诊断价值。方法 选取2020年9月至2021年12月河南科技大学第一附属医院收治的200例疑似新生儿肺不张疾病患儿作为研究对象。所有患儿均接受胸部X线检查及肺脏超声检查,以临床诊断结果为金标准,分析探讨不同检查的方法结果。结果 两种检查方法在局灶性肺不张的阳性检出率方面无统计学差异(P> 0.05),在隐匿性肺不张的阳性检出率方面,肺脏超声较胸部X线检查高(92.3%vs. 53.85%,P=0.027);肺脏超声诊断效能高于胸部X线检查(P <0.05);治疗5天后、出院前评估两者比较均无统计学差异(P> 0.05)。结论 肺脏超声对新生儿肺不张具有较好的诊断效能,且在治疗期间随访、出院前评估等方面具有积极作用。

Objective To investigate the clinical value of pulmonary ultrasound in the examination of atelectasis in neonates.Methods 200 children with suspected neonatal atelectasis admitted to The First Affiliated Hospital of Henan University of Science and Technology from Semptember 2020 to December 2021 were selected as study subjects.All the children received chest X-ray and pulmonary ultrasound examination.The clinical diagnosis results were regarded as the gold standard,and the results of different methods were analyzed and discussed.Results There was no statistical difference between two methods in the positive detection rate of focal atelectasis(P>0.05).In terms of the positive detection rate of latent atelectasis,the rate of pulmonary ultrasound was higher compared to the rate of chest X-ray(92.3%vs.53.85%,P=0.027).The diagnostic efficiency of pulmonary ultrasound was higher than that of chest X-ray(P<0.05).In addition,there was no statistical significance in treatment evaluation 5 days after treatment and before discharge(P>0.05).Conclusion Pulmonary ultrasound has good diagnostic efficacy for neonatal atelectasis and has a positive effect on the follow-up during treatment and pre discharge evaluation.