Karacaer Cengiz, Karabay Oguz, Gunduz Yasemin, Yaylacı Selcuk, Guclu Ertugrul
Department of Internal Medicine, Sakarya University Research and Traininig Hospital, Turkey.
Department of Infectious Diseases, Sakarya University Research and Traininig Hospital, Turkey.
J Coll Physicians Surg Pak. 2020 Oct;30(10):147-152. doi: 10.29271/jcpsp.2020.supp2.S147.
To evaluate the laboratory confirmed COVID-19 pneumonia and correlate the findings obtained by thorax ultrasound (USG) and thorax computed tomography (CT).
Observational study.
Departments of Infection Disease, Internal Medicine and Radiology, Sakarya Training and Research Hospital, Sakarya, Turkey, between March and May 2020.
This study was consisted of 100 adult patients having rRT-PCR positive COVID-19 pneumonia diagnossed by thorax CT. The clinical features, thorax USG and CT findings of these patients were recorded and expressed. USG and thorax CT findings were scored using a method described before. Continuous variables were expressed as mean (±SD) values. The Kolmogorov-Smirnov test was used for the normal distribution test, and continuous variables were compared using the Mann-Whitney U test. USG and CT performed at time of admission to the hospital. Descriptive statistics were conducted based on the structures of variable.
A total of 100 patients (54 men and 46 women; mean age, 59.88±13.03 years; range, 28-91years) with COVID-19 pneumonia were evaluated. Involvement areas on the lower posterior of the right side were detected as 70% by ultrasound and 74% by CT. Positively correlation was detected in lung scans assessed by USG and CT (p<0.001, r=0.705).
Ultrasound has several advantages including no ionizing radiation exposure for health care workers, being a safe, fast and non-invasive diagnostic technique with bedside usage. Hence, ultrasound is an efficient alternative to diagnosis and monitor of patients with COVID-19 pneumonia. Key Words: COVID-19, Lung ultrasound, Pneumonia, RRT-PCR.
评估实验室确诊的新型冠状病毒肺炎，并关联胸部超声（USG）和胸部计算机断层扫描（CT）的检查结果。
观察性研究。
2020年3月至5月期间，土耳其萨卡里亚培训与研究医院的传染病科、内科和放射科。
本研究纳入了100例经胸部CT诊断为逆转录聚合酶链反应（rRT-PCR）阳性的新型冠状病毒肺炎成年患者。记录并表述这些患者的临床特征、胸部超声和CT检查结果。超声和胸部CT检查结果采用之前描述的方法进行评分。连续变量以均值（±标准差）表示。采用柯尔莫哥洛夫-斯米尔诺夫检验进行正态分布检验，连续变量采用曼-惠特尼U检验进行比较。超声和CT检查均在患者入院时进行。基于变量结构进行描述性统计。
共评估了100例新型冠状病毒肺炎患者（54例男性和46例女性；平均年龄59.88±13.03岁；范围28 - 91岁）。超声检查发现右侧下后部受累区域为70%，CT检查为74%。超声和CT评估的肺部扫描结果呈正相关（p<0.001，r = 0.705）。
超声具有多种优势，包括医护人员无电离辐射暴露，是一种安全、快速且无创的诊断技术，可在床边使用。因此，超声是诊断和监测新型冠状病毒肺炎患者的有效替代方法。关键词：新型冠状病毒肺炎、肺部超声、肺炎、逆转录聚合酶链反应
