[1]张依琳.X线胸片联合多排螺旋CT检查对儿童肺炎的诊断价值[J].医学信息,2023,36(21):154-157.[doi:10.3969/j.issn.1006-1959.2023.21.036]
　ZHANG Yi-lin.Diagnostic Value of Chest X-ray Combined with Multi-slice Spiral CT in Children with Pneumonia[J].Journal of Medical Information,2023,36(21):154-157.[doi:10.3969/j.issn.1006-1959.2023.21.036]
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X线胸片联合多排螺旋CT检查对儿童肺炎的诊断价值()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
36卷
期数:
2023年21期
页码:
154-157
栏目:
诊疗技术
出版日期:
2023-11-01

文章信息/Info

Title:
Diagnostic Value of Chest X-ray Combined with Multi-slice Spiral CT in Children with Pneumonia
文章编号:
1006-1959（2023）21-0154-04
作者:
张依琳
（天津市宝坻区人民医院放射科，天津 301899）
Author(s):
ZHANG Yi-lin
(Department of Radiology,Tianjin Baodi District People’s Hospital,Tianjin 301899,China)
关键词:
儿童肺炎; X线; 多排螺旋CT; 准确率; 灵敏度; 病灶检出率
Keywords:
Pediatric pneumonia; X-ray; Multi-slice spiral CT; Diagnostic accuracy; Diagnostic sensitivity; Detection rate of lesions
分类号:
R445
DOI:
10.3969/j.issn.1006-1959.2023.21.036
文献标志码:
A
摘要:
目的 研究X线胸片联合多排螺旋CT检查对儿童肺炎的诊断价值。方法 以2018年4月-2023年2月天津市宝坻区人民医院接诊的193例疑似肺炎患儿为研究对象，所有患儿均接受肺部X线与多排螺旋CT检查，分析两种检查方式的影像学表现，以病理检查结果为金标准，比较X线、多排螺旋CT及联合检测对儿童肺炎的诊断价值，并统计其对不同位置病灶的检出率。结果 患儿肺部X线与多排螺旋CT检查的影像学表现存在一定差异，前者可见肺门影明显增大、斑片影、肺纹理增多等多项特征，但影像边缘清晰度相对较差，后者则可清晰显示肺部实质阴影，影像分辨率更高，病灶特征更为明显。X线联合多排螺旋CT检查对儿童肺炎的诊断准确率、灵敏度及特异度均高于二者单独检测（P＜0.05）。X线联合多排螺旋CT检查对不同位置病灶的检出率高于二者单独检测（P＜0.05）。结论 X线胸片联合多排螺旋CT检查对儿童肺炎具有较高诊断价值，其诊断准确率、灵敏度及特异度均优于二者单一检查，且病灶检出效果更佳。
Abstract:
Objective To study the diagnostic value of chest X-ray combined with multi-slice spiral CT in children with pneumonia.Methods A total of 193 children with suspected pneumonia admitted to Tianjin Baodi District People ’s Hospital from April 2018 to February 2023 were selected as the research objects. All children underwent chest X-ray and multi-slice spiral CT examination. The imaging manifestations of the two examination methods were analyzed. Taking the pathological examination results as the gold standard, the diagnostic value of X-ray, multi-slice spiral CT and combined detection for pneumonia in children was compared, and the detection rate of lesions in different locations was counted.Results There were certain differences in the imaging manifestations between the X-ray and multi-slice spiral CT examinations of the lungs in the children. The former showed multiple features such as significantly enlarged hilar shadows and increased patchy shadows, but the image edge clarity was relatively poor. The latter could clearly display pulmonary parenchymal shadows, with higher image resolution and more obvious lesion features. The diagnostic accuracy, sensitivity and specificity of X-ray combined with multi-slice spiral CT in children with pneumonia were higher than those of the two alone (P<0.05). The detection rate of X-ray combined with multi-slice spiral CT in different locations was higher than that of the two alone (P<0.05).Conclusion The combination of chest X-ray and multi-slice spiral CT examination has high diagnostic value for pediatric pneumonia, and its diagnostic accuracy, sensitivity, and specificity are superior to both single examinations, and the detection effect of lesions is better.

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更新日期/Last Update: 1900-01-01