中国临床医学影像杂志2024,Vol.35Issue(4) :242-245,249.DOI:10.12117/jccmi.2024.04.004

肺超声十四分区评分法在新生儿肺炎诊断中的应用价值

Application value of fourteen-zone lung ultrasound scoring method in the diagnosis of neonatal pneumonia

李欣茹 葛晖 程将 马寅闰
中国临床医学影像杂志2024,Vol.35Issue(4) :242-245,249.DOI:10.12117/jccmi.2024.04.004

肺超声十四分区评分法在新生儿肺炎诊断中的应用价值

Application value of fourteen-zone lung ultrasound scoring method in the diagnosis of neonatal pneumonia

李欣茹 1葛晖 1程将 1马寅闰1
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作者信息

  • 1. 蚌埠医学院附属蚌埠第三人民医院超声医学科,安徽 蚌埠 233000
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摘要

目的:探讨肺超声十四分区评分法在新生儿肺炎诊断中的应用价值.方法:对 95 例疑诊新生儿肺炎患儿进行肺超声和胸部X线检查,比较两种检查的诊断价值.根据重症肺炎的临床诊断标准,将 84 例确诊肺炎患儿分为重症组和非重症组,并进行肺部十二分区和十四分区评分法评估,利用ROC分析两种评分法的诊断效能.结果:肺超声诊断新生儿肺炎的敏感度94.05%、准确度 92.63%,高于胸部X线的敏感度 82.14%、准确度 80.00%,差异具有统计学意义(P<0.05).肺部十二分区评分法和十四分区评分法评估新生儿重症肺炎的曲线下面积分别为 0.834、0.894.结论:肺超声检查在新生儿肺炎诊断中有较高价值;肺部十四分区评分法比十二分区评分法诊断新生儿肺炎效能高,能为临床诊断提供指导价值.

Abstract

Objective:To investigate the application value of fourteen-zone lung ultrasound scoring method in the diagno-sis of neonatal pneumonia.Methods:Lung ultrasound and chest X-ray examination were performed in 95 neonates suspected neonatal pneumonia to compare the diagnostic value of the two examinations.According to the clinical diagnostic criteria of severe pneumonia,84 neonates with confirmed diagnosis of pneumonia were divided into severe group and non-severe group.Twelve-zone and fourteen-zone lung ultrasound scoring method were performed,and the diagnostic efficiency of the two scor-ing methods was analyzed by ROC.Results:The sensitivity and accuracy of lung ultrasound diagnosis of neonatal pneumonia were 94.05%and 92.63%,which were higher than 82.14%and 80.00%of chest X-ray.There were statistical differences be-tween the two examinations(P<0.05).The areas under the curve of the twelve-zone and the fourteen-zone lung ultrasound scoring method were 0.834 and 0.894,respectively.Conclusion:Lung ultrasound examination is of high value in the diagnosis of neonatal pneumonia.The fourteen-zone lung ultrasound scoring method is better than the twelve-zone in the diagnosis of neonatal pneumonia,and can provide guiding value for clinical diagnosis.

关键词

肺炎/超声检查/放射摄影术

Key words

Pneumonia/Ultrasonography/Radiography

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基金项目

安徽省高等学校科研项目(2022AH051488)

出版年

2024
中国临床医学影像杂志
中国医学影像技术研究会,中国医科大学

中国临床医学影像杂志

CSTPCDCSCD北大核心
影响因子:1.204
ISSN:1008-1062
参考文献量14
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