Zhang Y J, Zeng F X, Wu T Q, Chen X K, Ye G X
Department of Radiology, 12th people's Hospital of Guangzhou, Guangzhou 510620, China.
Department of Radiology, Nanfang Hospital of Southern Medical University, Guangzhou 510515, China.
Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi. 2021 Sep 20;39(9):681-684. doi: 10.3760/cma.j.cn121094-20210209-00093.
To investigate the value of CT multiplanar reconstruction (MPR) in the diagnosis of stage Ⅲ pneumoconiosis and complications. In September 2020, 94 patients with stage Ⅲ pneumoconiosis in Guangzhou 12th people's hospital were selected for digital radiography (DR) and MPR. The detection rate of the number of large shadows and the incidence of related complications were compared and analyzed. The counting data were expressed by frequency and percentage (%) , and the comparison was performed by chi square test. 178 and 132 large shadows were detected in MPR and DR chest films respectively. Compared with Dr examination, MPR had higher detection rates of pneumoconiosis related complications such as pulmonary tuberculosis, emphysema, pleural thickening, adhesion, pneumonia, pleural effusion, enlargement of hilar and mediastinal lymph nodes and calcification (<0.05) , There was no significant difference in the detection rate of pulmonary bullae (>0.05) . Compared with Dr, MPR had a higher detection rate in the diagnosis of cavity, calcification, bronchiectasis and parascar emphysema (<0.05) . MPR is better in detecting large shadow and complications of stage Ⅲpneumoconiosis, and has important value.
探讨CT多平面重建(MPR)在Ⅲ期尘肺病及其并发症诊断中的价值。2020年9月,选取广州市第十二人民医院94例Ⅲ期尘肺病患者行数字化X线摄影(DR)及MPR检查。比较分析大阴影数量检出率及相关并发症发生率。计数资料以频数和百分比(%)表示,组间比较采用χ²检验。MPR及DR胸片分别检出大阴影178个和132个。与DR检查相比,MPR对尘肺病相关并发症如肺结核、肺气肿、胸膜增厚、粘连、肺炎、胸腔积液、肺门及纵隔淋巴结肿大及钙化的检出率更高(<0.05),肺大疱检出率差异无统计学意义(>0.05)。与DR相比,MPR在空洞、钙化、支气管扩张及旁间隔肺气肿的诊断中检出率更高(<0.05)。MPR在Ⅲ期尘肺病大阴影及并发症检测方面效果更佳,具有重要价值。