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多层螺旋CT在诊断支气管扩张症中的应用价值

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目的:探究多层螺旋CT应用于支气管扩张症临床诊断中的价值.方法:选择 2020 年 11 月—2022 年 11 月厦门大学附属第一医院杏林分院接收的 85 例疑似支气管扩张症患者作为观察对象,所选患者均至影像科接受常规CT、多层螺旋CT及支气管造影检查,以支气管造影诊断结果为金标准评估CT影像技术在支气管扩张症诊断中的效能,观察不同类型支气管扩张病灶在多层螺旋CT检查中所呈现的影像学表现.结果:85 例观察对象中有 77 例确诊为支气管扩张症,共检出支气管扩张肺段 117 个.多层螺旋CT对支气管扩张症病变肺段的诊断准确率为 94.87%,高于常规CT的 76.92%,差异有统计学意义(P<0.05).支气管扩张症患者多层螺旋CT影像表现主要分为囊状型、柱状型、静脉曲张型、混合型,其中混合型根据其混合种类的不同,可同时呈现出 2 种甚至 3 种征象.结论:与常规CT相比,在诊断支气管扩张症时应用多层螺旋CT能够全面展现支气管腔病变情况,为临床提供丰富的影像学诊断依据,为提升诊断效能奠定良好基础.
Application Value of Multi-slice Spiral CT in the Diagnosis of Bronchiectasis
Objective:To explore the value of multi-slice spiral CT in the clinical diagnosis of bronchiectasis.Method:A total of 85 patients with suspected bronchiectasis admitted to Xinglin Branch of the First Affiliated Hospital of Xiamen University from November 2020 to November 2022 were selected as observation objects.All the selected patients were sent to the Imaging Department for routine CT,multi-slice spiral CT and bronchography.The efficacy of CT imaging in the diagnosis of bronchiectasis was evaluated with the results of bronchography as the gold standard,and the imaging findings of different types of bronchiectasis lesions in multi-slice spiral CT were observed.Result:Of the 85 subjects,a total of 77 cases were diagnosed with bronchiectasis,and 117 lung segments with bronchiectasis were detected.The diagnostic accuracy of multi-slice spiral CT of disesed lung segments in bronchiectasis was 94.87%,which was higher than 76.92%of routine CT,the difference was statistically significant(P<0.05).Multi-slice spiral CT images of patients with different types of bronchiectasis were mainly divided into cystic type,columnar type,varicose type,and mixed type,among which mixed type can present two or even three signs at the same time according to the different types of mixing.Conclusion:Compared with routine CT,the application of multi-slice spiral CT in the diagnosis of bronchiectasis can more comprehensively show the lesions of the bronchial cavity,providing a rich imaging diagnosis basis for the clinic and laying a good foundation for improving the diagnostic efficiency.

Multi-slice spiral CTBronchiectasisBronchographyDiagnosis value

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厦门大学附属第一医院杏林分院 福建 厦门 361022

多层螺旋CT 支气管扩张症 支气管造影 诊断价值

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(1)
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