首页|胸部X射线与多层螺旋CT检查在健康体检中的应用价值分析

胸部X射线与多层螺旋CT检查在健康体检中的应用价值分析

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目的:对胸部X射线与多层螺旋CT检查在健康体检中的应用价值进行分析.方法:选择2022年7月~2023年7月于本院进行健康体检的人员189例为研究对象,对所有参与本次研究的189例人员均行胸部X射线检查和多层螺旋CT检查,其余项目均按照常规检查进行.对比两种不同检查方式在肺部疾病方面的诊断效能,与金标准比较的一致性以及灵敏度、特异度、准确率.结果:多层螺旋CT组总检出率为20.63%,胸部X射线组总检出率为12.17%,CT组诊断效能高于X射线组,差异有统计学意义(P<0.05).与金标准比较,多层螺旋CT诊断肺部疾病的准确例数高于胸部X射线的例数,一致性较高(X射线组Kappa值=0.54,CT组Kappa值=0.89),差异有统计学意义(P<0.05).多层螺旋CT在诊断肺部疾病中的灵敏度、准确率均高于胸部X射线,差异有统计学意义(P<0.05).结论:胸部X射线与多层螺旋CT均可用于健康体检当中,但多层螺旋CT应用于肺部疾病方面检查中,其诊断效能更高,且灵敏度、准确率均较胸部X射线检查高,在健康体检中具有较好的应用价值.
Application Value Analysis of Chest X-Ray and Multi-Slice Spiral CT in Health Examination
Objective:To analyze the application value of chest X-ray and multi-slice spiral CT in health examination.Methods:A total of 189 patients who underwent physical examination in our hospital from July 2022 to July 2023 were selected as the study objects.Chest X-ray examination and multi-slice spiral CT examination were performed on all 189 participants in this study,and other items were carried out according to routine examination.The diagnostic efficacy,sensitivity,specificity and accuracy of the two different examination methods were compared with the gold standard.Results:The total detection rate of the multi-slice spiral CT group was 20.63%,and that of the chest X-ray group was 12.17%.The diagnostic efficiency of the CT group was higher than that of the X-ray group,the difference was statistically significant(P<0.05).Compared with the gold standard,the number of accurate cases in the diagnosis of pulmonary diseases by multi-slice spiral CT was higher than that by chest X-ray,with a higher consistency(Kappa value=0.54 in the X-ray group and Kappa value=0.89 in the CT group),the difference was statistically significant(P<0.05).The sensitivity and accuracy of multi-slice spiral CT in the diagnosis of lung diseases were higher than chest X-ray,the difference was statistically significant(P<0.05).Conclusion:Both chest X-ray and multi-slice spiral CT can be used in health examination,but multi-slice spiral CT has higher diagnostic efficiency,higher sensitivity and higher accuracy than chest X-ray in lung disease examination,which has good application value in health examination.

health examinationchest X-raymulti-slice spiral CTapplication valuespecificitysensitivity

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山东省慢性病医院(山东省康复中心)放射科 (山东 青岛 266000)

健康体检 胸部X射线 多层螺旋CT 应用价值 特异度 灵敏度

2024

中国医疗器械信息
中国医疗器械行业协会

中国医疗器械信息

影响因子:0.375
ISSN:1006-6586
年,卷(期):2024.30(10)