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胸部X光检查在犬慢性支气管炎诊断中的准确性评估。

Assessment of the accuracy of thoracic radiography in the diagnosis of canine chronic bronchitis.

作者信息

Mantis P, Lamb C R, Boswood A

机构信息

Department of Small Animal Medicine and Surgery, Royal Veterinary College, University of London, Hertfordshire.

出版信息

J Small Anim Pract. 1998 Nov;39(11):518-20. doi: 10.1111/j.1748-5827.1998.tb03697.x.

Abstract

Thoracic radiographs from 23 dogs with chronic bronchitis were mixed with those taken from 11 dogs (matched by age and bodyweight) without respiratory disease and interpreted twice by two blinded, independent examiners in an attempt to determine the accuracy of radiography for the diagnosis of chronic bronchitis. The only radiographic signs found more often in dogs with chronic bronchitis were thickening of the bronchial walls and increased numbers of visible bronchial walls (P < 0.01). Other signs, including bronchial calcification and interstitial pattern, occurred with similar frequency in both groups of dogs. The examiners were consistent in their interpretations (kappa > 0.64). The accuracy of radiographic diagnosis of chronic bronchitis is limited principally by insensitivity for bronchial lesions.

摘要

将23只患有慢性支气管炎的犬的胸部X光片与11只(按年龄和体重匹配)无呼吸道疾病的犬的X光片混合,由两名不知情的独立检查人员进行两次解读,以确定X光检查对慢性支气管炎诊断的准确性。在患有慢性支气管炎的犬中更常发现的唯一X光征象是支气管壁增厚和可见支气管壁数量增加(P < 0.01)。其他征象,包括支气管钙化和间质模式,在两组犬中出现的频率相似。检查人员的解读具有一致性(kappa>0.64)。慢性支气管炎的X光诊断准确性主要受支气管病变不敏感的限制。

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