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伊朗德黑兰和扎黑丹与慢性肺部微吸入(CPM)相关的高分辨率计算机断层扫描(HRCT)结果研究。

Investigation of high-resolution computed tomographic (HRCT) outcomes associated with chronic pulmonary microaspiration (CPM) in Tehran and Zahedan, Iran.

机构信息

Department of Radiology, Imam Ali Hospital, Zahedan University of Medical Sciences, Zahedan, Iran.

Department of Radiology, Chronic Respiratory Diseases Research Center, National Research Institute of Tuberculosis and Lung Diseases (NRITLD), Shahid Beheshti University of Medical Sciences, Tehran, Iran.

出版信息

Afr Health Sci. 2020 Dec;20(4):1710-1715. doi: 10.4314/ahs.v20i4.22.

Abstract

BACKGROUND

In patients with chronic pulmonary microaspiration (CPM) the recognition of high-resolution computed tomographic (HRCT) findings and their pattern is important.

OBJECTIVE

To investigate the HRCT detections in patients with CPM.

MATERIALS AND METHODS

This descriptive study enrolled 100 consecutive patients with CPM underwent HRCT of the lungs between 2017 and 2018 in Tehran and Zahedan Hospitals and private centers. The required variables were recorded for each patient with a questionnaire. Subsequently, HRCT was performed and abnormalities were then reported by two radiologists.

RESULTS

Most of patients exhibited bronchial thickening in 33.6% of cases, followed by ground-glass opacity (12.4%), emphysema (11.1%), and bronchiectasis (8.5%). In addition, the most common HRCT findings were found in left lower lobe (LLL) (37.1%), followed by right lower lobe (RLL) (35.9 %), right upper lobe (RUL) (6,2%), and left upper lobe (LUL) (6%).

CONCLUSION

Our data showed the most common findings in HRCT were bronchial thickening ground-glass opacity, emphysema, and bronchiectasis, where these findings was dominantly found in LLL, RLL, RUL, and LUL, indicating its high tendency to dependent areas.

摘要

背景

在慢性肺部微吸入(CPM)患者中,识别高分辨率计算机断层扫描(HRCT)的发现及其模式很重要。

目的

研究 CPM 患者的 HRCT 检测结果。

材料与方法

本研究为描述性研究,纳入了 2017 年至 2018 年期间在德黑兰和扎黑丹医院及私人中心接受肺部 HRCT 的 100 例连续 CPM 患者。每位患者均通过问卷调查记录所需变量。随后,由两名放射科医生报告 HRCT 异常。

结果

大多数患者出现支气管壁增厚(33.6%),其次是磨玻璃影(12.4%)、肺气肿(11.1%)和支气管扩张(8.5%)。此外,最常见的 HRCT 表现为左下叶(LLL)(37.1%),其次是右下叶(RLL)(35.9%)、右上叶(RUL)(6.2%)和左上叶(LUL)(6%)。

结论

我们的数据显示,HRCT 最常见的发现是支气管壁增厚、磨玻璃影、肺气肿和支气管扩张,这些发现主要位于 LLL、RLL、RUL 和 LUL,表明其在依赖区域的高发生率。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1e5c/8351860/35cf073415b4/AFHS2004-1710Fig1.jpg

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